Ovarian Neoplasms can be benign or malignant: Mixed cystic and solid

[Kathy W]

Ovarian Neoplasms
Mixed cystic and solid masses are the most frequent presentation of the common epithelial tumors of the ovary. Ultrasonography can describe the tumor morphology but cannot (with the exception of dermoid cysts) distinguish benign from malignant tumors.[2] Simple cysts are probably benign, whereas cysts with thick septations and solid elements are frequently malignant.[16] Abnormal tumor vascularity and low resistive or pulsatility index are also worrisome for malignancy. Ascites, extension to adjacent organs, peritoneal implants, lymphadenopathy, and hepatic metastases support the diagnosis of malignant disease.

http://www.gehealthcare.com/usen/education/proff_leadership/products/msucmeov.html

[MickeyVicki]

Unfortunately, despite the fact that cysts are more commonly benign, it is possible for even a simple cyst to be malignant.  One woman that I knew who has died of the ovca had only a simple cyst.  However, it was noted at the time of the ultrasound that the cyst wall against the ovary was thick, and when the cyst and ovary were removed later the pathology report showed a grade 3 (aggressive) form of ovca.  Her death was nearly 15 years ago, and last year when  my cyst was discovered, I regretted not having asked more questions of her before she died.

[debpokerqueen]

A sonogram can distinguish if the cyst (mass) is made up of all liquid, of combo solid and liquid, or all solid. If it is like a water balloon, meanin g that it has a thin wall and pure liquid inside, it is simple.  If it has several smaller "compartments" within the bigger structure, and/or a combination of solid and liquid components, then it is a "complex" cyst.  As MickiVicki and others have said, most cysts are benign, although simple cysts are more often benign than complex, and depending on whether pre or post menopausal, CA125 level, and other factors, the doc can decide whether or not it is suspicious.  I wish you luck and a benign cyst!

[mama3043]

My gyn confirmed I have two cysts but when never told me what type. Guess it is important to know to ask this b/c doctors will push you out with ease of mind, but once you leave you are the one with the uncertainty b/c of so many unanswered questions. Is it possible for them to be confident that it's not mixed or solid, but still have them be malignant?

[NikkiPoo]

How can a sonogram tell which kind of cyst it is? Is the only way to tell laproscopic surgery?