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Complex Cyst on my Right Ovary

I am 43 years old just was recently diagnosed with Stage 0 breast cancer. I had a lumpectomy and no chemo was needed only radiation for which I am scheduled to start in December. About 2 weeks ago I started having symptoms of a bladder or UTI infection. I went to my doctor who sent me for an ultrasound and the ultra sound showed a complex cyst on my right ovary. Is there a chance that I may have developed ovarian cancer. I have not been able to eat sleep or anything. I'm just barely functioning. My family is telling me I might be over reacting and wait for the test results. I have an MRI tomorrow the doctor said she wants to make sure it is a complex cyst......I am having panic attacks I am so afraid
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20894306 tn?1582104858
Hi there, Sorry to hear about your diagnosis!
I wonder how are you doing recently are you feeling any good? What treatment your doctors are using to treat your breast cancer? What's up with the results did they found the OC as well? I hope everything is going well with you.
Best wishes and lots of love!
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Avatar universal
First to God be the Glory. I am not sure if anyone is following this thread just wanted to check in. I am 6 days post op from laparotomy.  To make a long story short surgery was successful. I was in the hospital for 2 days. Had a small dermoid on one ovary and the other ovary was enlarged. They did a frozen section biopsy and it came back negative. Recovery has been okay I am super bored but I know that rest and not over doing it will be the key to successful recovery so I have books including adult coloring books. I read my Bible for healing scriptures to keep me encouraged and I have been journaling this experience. I like to look back and read old journal entries for encouragement plus this is a record of my testimony how God has brought me through. I did get the final pathology this morning and I was given the all clear no cancer found by my doctor. Sorry for the long  post but ladies stay encouraged. Keep encouraging one another and most importantly rely on your faith to bring you through because this is a hard situation to face. Any illness that make you question your mortality is difficult but God can take the sting out of uncertainty and anxiety. I have also been going through counseling to deal with my breast cancer diagnosis a few months back. We are resilient ladies and this too shall pass.
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Glad to hear surgery is behind you and recovery is going well. Did he still remove all your female organs even though the frozen section was benign?
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It is not surprising he wants to remove everything since 90% of female organ removals are unnecessary. I was in your shoes 13 years ago and am sorry I trusted my gyn of 20 years. By far THE.BIGGEST.MISTAKE of my life. I have learned more than I ever cared to know since then.

Most women who have breast cancer are not at increased risk of gynecologic cancers which are rare. So your BC history is a poor reason for recommending organ removal. But even more importantly, I doubt he told you about all the medically documented harms of removing these organs.

Hysterectomy causes the torso to collapse (shorter, thicker midsection and flat back) since the ligaments are the pelvic support structures. Many women report sexual dysfunction since the uterus is a sex organ. The bladder and bowel are displaced which can cause problems especially in the long-term. It also increases risk of thyroid and renal cell (kidney) cancer.

Removal of the ovaries has been shown to accelerate aging. It certainly did for me. In just 4 months, I aged 10-15 years! Studies say ovary removal increases risk of heart disease, stroke, osteoporosis, hip fracture, lung cancer, chronic kidney disease, dementia, parkinsonism, cognitive and memory impairment, mood disorders, sleep disorders, skin and vision deterioration, sexual dysfunction, more severe hot flushes.

A surgeon with good cystectomy skills should be able to remove just the cyst and save the ovary (or enough of it for those lifelong health promoting hormones). Removal of one ovary is associated with an increased risk of dementia. There is probably some risk of losing the ovary but there shouldn't be any reason to remove anything else.

Check out the HERS Foundation for info and maybe guidance. Good luck and keep us posted.
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Avatar universal
So just a follow up to my situation I am scheduled to have surgery 1/7/20. My gyno said the ultrasound and MRI does not indicate the cyst are cancerous however he wants to do a complete hysterectomy and ovaries removal given my precancer diagnosis with my breast. I have been stressed out and barely sleeping for about 3 months. Now I am starting to loose weight as well having indigestion. No pain really just gasointestional issues. The doctor told me that the cyst are probably pressing on my stomach and other organs causing issues as well as me having anxiety causing weight loss. Should I be worried by the symptoms are just try to follow my doctors advise and try to relax.
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I'm so sorry you are going through this.  I'm not a medical professional, I do have a complex cyst on my left ovary.  My dr is watching it & my follow up apt is the same day as your surgery.  I can let you know what has made me feel a little better. . . .ovarian cancer is rare, especially in younger women.  Also, like me, you have two opinions that it is not cancer.  The radiologist would have noted on his report if he suspected malignancy and your GYN would also have phrased things differently if he thought it was cancer.  I've found that the internet isn't helpful.  Most of the info out there is for medical professionals and I don't completely understand it.  The internet can't tell me what is wrong either, as much as I wish it could.  So, for me, I'm worried but just trying to stay busy.  Im trying to take care of my self, enjoy my family and my life and hopefully I'll get good news next week.  I hope your surgery goes well & please try not to worry!!  Worry does make everything worse.  Keep us updated.
Avatar universal
Mature teratomas aka dermoids are benign tumors, composed of fat, fluid, soft tissue, and/or calcification. Oftentimes, these are just followed, but sometimes they may be resected if large and/or symptomatic.
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Avatar universal
Sorry to hear you had breast cancer and still undergoing treatment. Is stage 0 the same as DCIS (ductal carcinoma in situ)? Just curious about that.

Yes, the large majority of ovarian cysts, even complex ones, are benign. And breast cancer is MUCH more common than ovarian cancer so your chances of getting ovarian cancer are slim if you do not have a family history of OC.

It's good to hear that the MRI gave a better view of the cysts and you have been diagnosed with mature teratomas (dermoids) which are almost always benign. If this is a definitive diagnosis then surgical removal is likely needed. Hopefully, they will remove just the cysts (cystectomy) and save your ovaries since our ovaries (as well as the uterus) are critical our whole lives for good health and well-being.

Please keep us posted.
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Yes it is ductical carcinoma in situ. Thank you again for the encouragement and information. I am hoping to get the surgery scheduled as soon as possible. I just want to get back to normal life. Even though this has been a trying year my experiences I believe are shaping me into a stronger Christian and just a more resilient person all together.
Just want to add at stage 0 breast cancer it considered precancerous cells
207091 tn?1337709493
I can absolutely understand why you are so afraid, given your recent diagnosis.

The vast majority of cysts are benign, and a complex cyst means it's just blood-filled, or filled with a solid substance. https://www.medicalnewstoday.com/articles/322476.php

Your doctor is doing the right thing by giving you an MRI in light of your breast cancer diagnosis. She is erring on the side of caution, and I totally understand why here.

I can't imagine how hard this is, and people telling you that you're over reacting isn't helping, I'm sure. They're probably trying to be helpful, but I think waiting for results is one of the hardest parts of the medical process.

Don't hesitate to find a support group for breast cancer patients, or cancer patients in general, or a therapist. Getting a cancer diagnosis changes your life, and you're about to embark on a scary journey. You're stronger than you realize, but remember to take care of your mental health as you take care of your physical health. Your doctor may know of some in your area, and there are thousands online.

Let us know what your MRI says, and good luck.
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Thank you for your response. So I had my MRI and the preliminary results showed I have a bilateral mature ovarian teratomas. I read the percentage of malignancy is low. I have already started researching counselors. So now I am waiting on my doctor to contact me for the next steps. I feel a little better with knowing the diagnosis. I have been numb for the past week so maybe I will be ahle to at least sleep tonight
I'm happy to hear this. I hope it helps you relax a bit, and get some much needed sleep. It has to be a lot, right after the BC diagnosis.

Please keep us posted. Hugs.
I have a quick question would my kind of cyst cause stomach upset now I am back to thinking it is late stage ovarian cancer
Upset stomach like nausea, vomiting, diarrhea?

It can cause nausea and vomiting if the cyst is causing the ovary to twist or bend. (Yep, that sounds awful.) https://www.medicalnewstoday.com/articles/322476.php#symptoms

It could also be stress and anxiety that's causing your upset stomach, but you should call your doctor to be on the safe side. If you get any sharp, sudden pains, a fever, and/or vomiting, you should call your doctor immediately or go to the ER. It could have ruptured.

I know it's so scary, and I can't imagine what you're going through. It's not late stage cancer, though - the MRI would have been able to see that. Has your doctor done any blood work yet? If you had late stage cancer, some of your blood work would be way out of whack. Have you had a CA-125 done? It's not done for diagnosis by itself, but can be helpful. https://www.mayoclinic.org/tests-procedures/ca-125-test/about/pac-20393295
Went to the doctor today and he is optimistic that it is not cancer he did have my blood drawn to do the ca125 test and I should have the results Monday. He told me to relax and stop googling symptoms on the internet. He said that it looks like the right cyst actually shrunk a little between the time I had the ultra sound and ethe MRI done. I have a follow up in 2 weeks pending the blood test is good
You are one courageous lady.  Blessings & Light, Scottie Mc.
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