left Ovarian dermoid measuring 6 cm diameter on MRI

[DeeVin]

hello!,



I am 25 year old, unmarried, Indian software engineer. Tow months ago on a routine pre employment medical checkup, I was diagnosed with a left ovarian cyst appox 190 cc on Ultrasound scan. This finding was more of an accident as I have never had any such symptoms. I have a normal 5 day menustral cycle once every 28 days. The Gynec advised an MRI. The MRI report confirmed that it was a left ovariam dermoid. My Gynec is now insisting that I get it removed as soon as possible ( when the dermoid is not interferring). She hopes that it can be removed through laproscopy, but is hesitating to confirm on the same stating that it is too huge and may be she will have to cut open to remove it.



Can this dermoid not be removed through laproscopy?

Do I indeed need hurry? Can I not wait? Is this am emergency?

Will it hinder my fertility?

What symptoms do I need to look out for?

What are the chances of another such cyst comming up in the same place?



Please suggest at the earliest,

Regards,

D

[MickeyVicki]

Your dermoid cyst does need to be removed and given the large size of the cyst, the doctor is correct in stating the cyst should be removed soon.  As your doctor probably advised you, a dermoid cyst can contain cells from teeth, bones, hair, and oil glands.  Should such a cyst rupture and spill its contents into your abdomen, then a severe infection could result.   The cyst can be removed without greatly affecting your ability to have children (in fact, it is my understanding that it should have no effect at all unless the ovary itself has somehow been damaged.) Remember that a severe abdominal infection  affecting the reproductive organs can cause inferility situations.



I had an endometrioma, along with my left ovary and  fallopian tube, removed last December by laparascopic surgery.  My endometrioma was considerably larger than your dermoid cyst, and the damaged ovary was enlarged as well.  I went into my surgery with the understanding that the doctor would begin with the laparascopic procedure, and only open a larger incision if she could not remove the endometrioma/ovary/tube through the smaller lap incision.



Given your age and the MRI information, it is unlikely that your dermoid cyst is cancerous.  However, in very, very, very rare cases, a dermoid cyst can be malignant, and I would make certain that the doctor has the removed cyst and contents sent to a pathologist even if the doctor does not think it is malignant.  Yes, the pathology work costs a little more, but it is worth it for your peace of mind.

[DeeVin]

Hi

Thank you so much!

I am feeling a lot more relieved!



I only hope that my doctor will be able to remove it laproscopically!!



I am going in for a second opinion today.



Thank you,

Regards,

D

[DeeVin]

Thank you all!!



I am back in office!

I got the dermoid removed through operative Laparoscopy.

It was alsomost painless and I was discharged after two days at the hospital.

I am back to work and feeling fit and fine!

it is such a relief!



I also got my HPE reports. The biopsy confirmed a benign cystic teratoma.



Thank you,

Regards,

D

[Kalene]

My daughter is 14 years old and a CT scan shows she has a Dermoid Ovararion Cyst. She has been in pain for two weeks. The doctor wants to wait two menstral Cycles then do another CT scanin Novemeber. They perscribed pain medication for her to take for her pain. Why do they want to wait two months while she is in pain?

[rootietootie]

Great! glad you are feeling better!  Glad they took care of it with a laparoscopy only.  Good luck

[rootietootie]

Hi there, I know you must be feeling frustrated and fearful.  My daughter had a dermoid when she was only 13.  hers was big like a grapefruit and had caused appendicitis so it had to be removed immediatley when found.  I agree with you that it doesn't make sense that they would let her be in pain.  I guess the urgency might depend on how big it is.  Did they tell you how large the dermoid is now?  The biggest risk is of torsion, if the ovary twists, it can be dangerous, I would guess the bigger it is the higher the risk of that hapepening. If i were you, I would seek another opinion!   Let me know how it turns out.  Good luck  Shannon

[mbrilo]

I had problems during intercourse, so I made an appt with my OB GYN.
She did an ultrasound and found that I have a 3cm cyst on my left ovary.
She did another one in a month and a half and found out that it grew to 6cm.
She wants to do surgery. She said that it looks like a Dermoid cyst.
I went for a sec opinion. The new Dr did blook work, when the results
came back, she found tumor marker in my blood.  She is now reffering me
to a Cancer Specialist. what is the possibility that I might have Ovarian Cancer.
No one in my family has it.

[Jan214]

No one can "guess" at your odds of having OVCA. They say alot of things about OVCA, but the one thing I know is that is does not care what age you are, if family has had it or not, whether a Dr says your odds of having it are slim to none or any of the other **** you hear.  OVCA does what it wants to and you have to be proactive.  I have a long history of O Cysts and now I have 3c OVCA.  Don't screw around and don't ever take no or wait and see as an answer.  See the GYNONC and make sure they do every test possible.  Good luck to you and stay in touch.
Jan

[Jan214]

Apparently the powers that be decided that C_ _ P is not an appropriate word for this forum. It is not like I said S _ _ T!  I did not want anyone to think I was using shocking language.
Jan

[mbrilo]

Thank you very much for your thought. They say that tumor marker can appear in your blood
when you have a regular Dermoid Cyst, Is this correct? or Does having tumor marker means,
that you automatically have OVCA.