The terminology here gets very confusing, and unfortunately radiologists often misuse it. Part of the problem was that a few years ago they changed some definitions around.
A SIMPLE cyst is never cancer and will never become cancer. It is just a water balloon filled with fluid.
A COMPLICATED cyst is never cancer and will never become cancer. It is a water balloon filled with gunk, sometimes old blood, sometimes just debris. These are usually followed for a while to make sure they are not changing. If it changes, then it wasn't a complicated cyst to begin with, but just looked like one. So if it changes, it was either solid, or a complex cyst.
A COMPLEX cyst is sometimes cancer, but usually not. A complex cyst is a cyst with a living tissue growth inside of it that is attached to the wall. Usually that growth secretes a lot of fluid which causes the water balloon to grow. A complex cyst should be biopsied because it will on occasion be an intracystic cancer.
Radiologists sometime incorrectly refer to complicated cysts as complex cysts, so I wouldn't automatically assume that just because the report says complex cyst, that it is in fact a complex cyst.
O my... I was just given some test results and was told I had complex cyst on my right ovary.:( BUT they said follow up in two months to check it again SO maybe not too serious right? I normally dont have anything like that going on with me. Just a Migraine every now and then.. SO this is pretty new to me.. I was taking it lightly but did not know it could possible be cancer...
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