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Hypoechoic lesion

Hi, I have a question regarding chronic pelvic pain and cysts.  A little history, 41 post TAH & kept left ovary only for CINIII in 07, perotineal inclusion cyst (PIC) 13 cm drained via lapratomy in 08, chronic pelvic pain post TAH.  Since PIC, I have had US every 3 mos, because gyno suspects the PIC will come back and I have CPP.  Most recently I had a bi-lateral mastectomy in August and I am still recovering.  My latest round of USs show a 1.9 cm hypoechoic lesion in July which has grown to 2.5 in November, additionally a 3 cm fluid cyst.  How long can I wait to have this dealt with?  Will this increase my odds of the PIC coming back?  Are there any significant health risks to this type of cyst?  
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Thanks again!  My 13cm cyst was in the abdominal cavity, not really attached to the ovary.  I have part of a tube left and the ovary so I don't think it will be a problem.  Yes, I agree that a more skill surgeon is the best thing.  I have a lot of respect for a Dr. who can say that she isn't the one to do surgery.
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It's hard to say how complex without more information.  It might just be a segmented cyst or maybe with the adhesions they can't see it very well and say complex when its not.  

If the doctor is not on high alert, that's a good thing.  It's also a good thing to be referred to a more skilled surgeon.  I would want the best even for a first-time surgery.

I think torsion involves twisting of the tube so torsion may not be one of the things you need to worry about.  Many women never get torsion issues even with much larger cysts.  Mine was huge and heavy and never caused torsion.
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Avatar universal
Hi MarieMichele, sorry I forgot to add that it was complex, does that mean it is some solid?  Gyno said that she was ok with just waiting because my body has been through so much recently (mastectomy & recurred infections from reconstruction).  I have an appt with a Gyno in a major university hospital next month.  My gyno doesn't want to do my next surgery.  In her words, it is beyond her expertise and she is referring me out to a surgeon more versed in adhesions.  The PIC drainage was done by her and she couldn't even locate my ovary because it was encased in adhesions.  I have one more question also, does anyone know if ovary torsion can occur if you only have an ovary left?  What would it turn on??  The ovarian artery??  THANKS!!!
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Avatar universal
These sound like benign fluid filled cysts that are still small enough to resolve on their own.  I would think no action is required other than the routine monitoring your doctor has been doing.  Did your doctor comment on these at all yet?  Best wishes to you on your ongoing recovery from past surgeries and hopefully no more surgeries will be needed in the future.
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