Possibility of ovarian cancer?

[Purple31909]

Here is some background hx of me:
January 2008- surgery to remove a complex cyst on right ovary (biopsy negative)

January 2012- drain placed by ct scan for draining of complex cyst (biopsy negative)

November 2013- complex cyst drained by needle aspiration  under US (biopsy negative)

I have had multiple abdominal surgeries from a colostomy 1990, pull through 91, and in November 2012 c section that resulted in a torn bladder from adhesions. Catheter was intact for 2 months, removed January 2013.

After the draining in November things looked up for about a week! I could pee normally (after suffering urinary retention and other times incontinence) and my pain had dramatically decreased. 2nd week of December my pelvic region began to throb again, my insides feeling of being ripped apart inside me! :(  US was done and report impression reads as follows:

2.9 cm complex cyst right ovary with an adjacent 2.6 cm cyst. Alternatively, this may represent a larger more complex separated cystic lesion. The entire process measures larger from comparison. A fluid/fluid level may be present. This was not seen on the prior study. Would favor a hemorrhagic cyst, however with the interval enlargement, cystic ovarian neoplasm is also within differential. Would consider surgical consultation.


I have appointment with GYN next week. My PCP told me I was indeed a rare and special patient :(

My question. Even with negative biopsies is cancer possible; I have all symptoms. Including urinary urgency without relief of emptying bladder (UA was negative for UTI)  A CA-125 has not been done.

I just need answers :( I feel so lost and frustrated with my deteriorating health.

[Bhupinder Kaur, MD]

Hello,
A complex ovarian cyst is less common than simple ovarian cyst. At such a young age it can be dermoid cyst which is a type of complex ovarian cyst and is the most common type and develops during the childbearing age. Complex ovarian cysts are generally benign. The risk of malignancy is generally higher among postmenopausal women.

You should get a repeat ultrasound and CT scan done. A CA125 blood test should also be performed.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.

[Bhupinder Kaur, MD]

Hello,
A complex ovarian cyst is less common than simple ovarian cyst. At such a young age it can be dermoid cyst which is a type of complex ovarian cyst and is the most common type and develops during the childbearing age. Complex ovarian cysts are generally benign. The risk of malignancy is generally higher among postmenopausal women.

You should get a repeat ultrasound and CT scan done. A CA125 blood test should also be performed.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.