I am not in the medical field. I do know that unless you have the BRCA gene you have a 1.4% chance of Ovarian Cancer in a lifetime so it is rare. 98% of ovarian cysts are benign. It is even more rare to have ovarian cancer in both ovaries at the same time. Your lymph nodes are normal. There is no cancer in your peritoneal cavity which you would see if it were cancer. I was full of cancer in my peritoneal cavity. They can't completely rule out cancer with out doing pathology of tissue. You have cysts in both ovaries. You have no free fluid that also points away from cancer. They have to cover their butts and not exclude cancer all together. You can ask for a CA125 blood test. Try not to worry too much.
I echo HVAC's comments. The comment "they have to cover their butts" can needlessly instill a lot of fear in us. That is what it did to me and it made for cloudy thinking and ultimately being over-treated. I was rushed into surgery for a complex mass similar to yours (it ended up being a mucinous cystadenoma). Even though the mass was benign per the frozen section done in the operating room, my long-time gynecologist removed all my organs anyway (both ovaries, tubes, and uterus). All he should have removed was the cyst and then sewn me back up when it was benign. Unfortunately, far too many women lose organs unnecessarily. And we need all of our "reproductive" organs our whole lives for their hormonal, anatomical, skeletal, and sexual functions.
The types of cysts mentioned in the radiology reports were dermoid, hemorrhagic, mucinous cystadenoma, and serous cystadenoma. All of these types are benign and should not require removal of your ovary or any other parts but only the cyst itself. Of course, as HVAC stated, the biopsy done once the cyst is removed will tell if it is benign or malignant. That should dictate whether or not anything else is removed. But keep in mind that not all surgeons have good cystectomy (cyst removal) skills. And removing an ovary is easier. But the loss of even one ovary can have negative effects on your endocrine system since the ovary has both reproductive (exocrine) and post-reproductive / menopausal (endocrine) functions which are vital to every aspect of our health. So you don't want to lose one or both unnecessarily. The uterus and its supporting ligaments and blood vessels also have non-reproductive functions (anatomical, skeletal, and sexual).
These sites are helpful in understanding ovarian cysts and the functions of the ovaries:
I got my GYN appt pushed up to today. I go in at 130 (15 min from now) my mind seems to be blank as to what to ask. I'm also hoping I can get my referral to the GYN/ONC today. I will keep updates posted.
So, I just left the GYN. He performed a transvaginal US again. He came back in the room to tell me it was a large cyst and that 90% of them go away on their own. He told me nothing about the cyst looked cancerous and he was 100% certain with hormone therapy, the cyst would go away. He has 50 years of experience, but somehow I can't have that sigh of relief. Maybe it's just my anxiety..
You can always get a second opinion. It is normal to still be worried. You will not relax until the cyst shrinks. I have learned that worry is trying to control the future and I can't. What I worry about does not come to pass. Other things I did not think of happen but things do not turn out exactly like I imagine them. I live with the BRCA mutation. I have a 90% of breast cancer plus my ovarian is terminal. I have learned to not wait for the other shoe to drop. I live a happy normal life. I have learned people are not statistics. Each case of cancer is different. I should be dead and I am not. I do not want to waste the time I have left worrying or playing what if. They can tell by the US if it is cancerous. I say let the doctor do the worrying. If you have a good doctor trust him.
Even if the worst happens I have learned that you just deal with it. I have been in chemo for four years. I thought I would not live 4 years. I went to the Lion King last night. I am going to Charleston soon. I went to Europe last year. I swim, I walk my dogs, and ride horses. I do not own a horse. A nice lady lets me ride hers. I have chemo once a week but I live my life otherwise. I even adopted a deaf dalmatian puppy two years ago. I love my pup. Life goes on and you live it.
Hopefully this cyst will just be a hiccup in your life.
I guess you have Tricare? It is very bureuacratic. My dad was a Navy Chaplain. I grew up with Military medicine. They did send me to the Mayo when I was a baby due to my neurological problems and later to Duke. No one thought children got MS back then. Now they know better.When I was 5 years lodI got mauled by a German shepherd dog. An army surgeon just got back from Vietnam. He did a great job reconstructing my face. I never had to have plastic surgery. I know there is alot of red tape for referrals. In the civilin world it took me over 4 years to be diagnosed with cancer. I kept going in with issues which is not likely. My oncologist complains I do not call when I should. I worked years for veterinarians so I know when things are bad and when things can turn around on their own. But if your gut pushes you for answers listen to your gut. I should have pushed for myself harder. I had all the symptoms of Ovarian Cancer. After I was diagnosed my doctors asked themselves how they had missed the obvious. In my case I have the bad genetics. MY grand mother and aunt died of ovarian cancer. My brother and father had bad prostate cancer in their 50's. I think they would have had the BRCA mutation like me. My body makes cancer pure and simple.
I am really hoping your thing turns around for you. The day you email that your cyst has resolved will be a day I am very happy. I had someone tell me they had surgery and it was not cancer. I was so happy. Keep the faith.
Hi! I'm sorry I have been MIA from this site. I did find out some news today. Between the first ultrasound and the second my cyst shrunk 3 inches and went from complex to a simple cyst. That was before the progesterone treatment. I'm hoping that means I can definitely cross cancer off the list of worries. I go back to the GYN Wednesday and I hope to hear it's gone all together.
I think you can cross cancer off the list. Good news.
So, unfortunately, the receptionist I talked to gave me the wrong information on my cyst. I'm extremely upset over it.. Wednesday I went back to the GYN and my cyst hasn't changed in size at all and the hormone therapy didn't dissolve it. I'm back to having surgery this month and back to a million questions. The GYN believes it's a dermoid, the original diagnosis.. Which doesn't make sense considering my MRI results showed no fat within the mass. That's when ovarian carcinoma popped up as possibilities. I asked my GYN about cancer and he told me "I'm too young". He also said my ultrasound didn't show classic signs of malignancy (fluid around the mass or fluid in the abdomen) and basically crossed it off all together. I wish I could get a second opinion, but unfortunately tricare won't let me. I'm so confused and this has been such a long drawn out process. I'm feeling pretty defeated...
The cancer would show up on ultra sound or MRI. I think you doctor is right. If you don't have the BRCA mutation your chance of ovarian cancer at your age is less than 1%. My cancer was clear on the ultra sound.