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Ovarian Cyst w/ Cystic and Solid Components
I was in horrible pain Jan.during my period-insane cramping, blackouts,diarreah,vomiting.I felt I was having a miscarriage or something.My Dr. did an ultrasound & found 3cm/5cm Ovarian cystw/solid&cystic components.They suggest torsion of L ovary(to explain pain).The ovary is now in normal position-they also found 3 small cysts on Rt.ovary believed to be follicular& 4 fbroids in uterus ranging from pea to almond in size.
My Dr.suggested immediate laporoscopy to remove the cyst. He sent me to a specialist for a second opinion- They thought it was Endo& that cyst is possibly an endometria or hemmoragic -They dont want to do surgery.They dont believe it's cancerous cause it hasnt grown since Jan.
Since Jan. periods are scant,bright red w/less clots-B4 they were heavy w/clots & brown fading 2 red .I have gatrointestinal problems & occasional blood in stool during period.I feel naseous if I exert myself & get exhausted easily.I have pain, pressure & pee all the time.
Im doing CA-125 test& have heard mixed opinions on it-some Dr.s say its not a good marker for cancer in premenopausal women esp.if Endo is suspected.But I just read an article about a 29 yr woman w/a semi-solid cyst-Her Dr. told her if the test #'s were med.it was probably endo-if it was cancer the #'s would be high.Her #'s were thru the roof-they did immediate surgery & found cancer. Im wondering what your opinion is on all this? I hear ovarian cancer is very rare in young women(Im 32)& that my symptoms are probably Endo. But the girl in the article was 29 w/the same symptoms as me.
Thankyou so much-Confused
My Dr.suggested immediate laporoscopy to remove the cyst. He sent me to a specialist for a second opinion- They thought it was Endo& that cyst is possibly an endometria or hemmoragic -They dont want to do surgery.They dont believe it's cancerous cause it hasnt grown since Jan.
Since Jan. periods are scant,bright red w/less clots-B4 they were heavy w/clots & brown fading 2 red .I have gatrointestinal problems & occasional blood in stool during period.I feel naseous if I exert myself & get exhausted easily.I have pain, pressure & pee all the time.
Im doing CA-125 test& have heard mixed opinions on it-some Dr.s say its not a good marker for cancer in premenopausal women esp.if Endo is suspected.But I just read an article about a 29 yr woman w/a semi-solid cyst-Her Dr. told her if the test #'s were med.it was probably endo-if it was cancer the #'s would be high.Her #'s were thru the roof-they did immediate surgery & found cancer. Im wondering what your opinion is on all this? I hear ovarian cancer is very rare in young women(Im 32)& that my symptoms are probably Endo. But the girl in the article was 29 w/the same symptoms as me.
Thankyou so much-Confused
I have been having rectal bleeding for the past 3 months everyday. Some days there is mucus. The blood is in and on the stool. My doctor ordered a colonoscopy and the only finding was some inflamation. About three weeks ago, I started to have pain in my pelvis area. He then ordered a CT scan which revealed a 10 mm cyst on my ovary and a cyst on my liver. Last year I was diagnosed with breast cancer. Next week I'm going for an ultra sound and CA125 test at Roswell. I'm involved in the clinical study for high risk ovarian cancer and chose the screening. Are rectal bleeding and ovarian cyst symptoms linked in any way? I am very frustrated that the doctors have not been able to detect a problem with my colon or rectum and the bleeding continues.
Hi Nomi,
I can't answer your question about the differnce of the three procedures but maybe try googling them and see if you can find info on them.
I'm 36 now and don't have any children. Because of my reluctance to have a hysterectomy unless necessary they didn't perform one with the first surgery - just removed the one ovary. With just one ovary the other one picks up the functions of the missing one and you still have periods every month. Sometimes they can even save both ovaries depending on the cyst. The endo was a surprise and was told by dr if I wanted kids to do so right away as endo can also cause problems with fertility. A year and a half after first surgery I chose to have a hysterectomy (was recommended by dr to have one within 5 yrs) as I was too scared it would come back. There is no history of any gyn cancer in my family - most women with ovarian cancer have no history of ovarian cancer. There is however a triangle of related cancers - breast, ovarian and colon. If you've had one of them you stand a greater chance of having one of the others. My family dr said he had a patient that had all three! My father died of colon cancer and I had an aunt (dad's side) that has breast cancer. I was in good health prior to diag. although overweight - a risk factor for the type of ovarian cancer I had.
Discuss your fertility concerns with your dr and if you decide on surgery make sure your dr knows your wishes.
Let us know how you make out.
I can't answer your question about the differnce of the three procedures but maybe try googling them and see if you can find info on them.
I'm 36 now and don't have any children. Because of my reluctance to have a hysterectomy unless necessary they didn't perform one with the first surgery - just removed the one ovary. With just one ovary the other one picks up the functions of the missing one and you still have periods every month. Sometimes they can even save both ovaries depending on the cyst. The endo was a surprise and was told by dr if I wanted kids to do so right away as endo can also cause problems with fertility. A year and a half after first surgery I chose to have a hysterectomy (was recommended by dr to have one within 5 yrs) as I was too scared it would come back. There is no history of any gyn cancer in my family - most women with ovarian cancer have no history of ovarian cancer. There is however a triangle of related cancers - breast, ovarian and colon. If you've had one of them you stand a greater chance of having one of the others. My family dr said he had a patient that had all three! My father died of colon cancer and I had an aunt (dad's side) that has breast cancer. I was in good health prior to diag. although overweight - a risk factor for the type of ovarian cancer I had.
Discuss your fertility concerns with your dr and if you decide on surgery make sure your dr knows your wishes.
Let us know how you make out.
I see that you are very concerned about being able to have children. If you check some of the websites for clinics and doctors that specialize in fertility issues then you will see that removal of endometriosis adhesions and ovarian cysts are a large part of what these doctors do to improve fertility. I have read in several sources that the removal of one ovary only reduces the chances of becoming pregnant by 20%. I have a friend as well as a family member who both had one ovary removed, and both easily conceived and gave birth without fertility assistance. Be certain to explain your concerns to the doctors so that they understand that you expect the surgery to be done with preserving fertility if that option is at all possible.
Thank you so much for your concern and advice MickeyViki!
My own Doc does want me to do the surgery -he says no semi-solid mass in there is a good thing,especially wikind of th the pain its causing me - but the "specialists" think that I sould wait three more months to see if it grows ,and if it grows -then we do something about it.
I know ovarian cancer is rare in young women but as I mentioned in my last post that I just read an article about a woman the same age as me who had Ovarian cancer & by the time they decided to go in there,she had to have a total hysterectomy - I never had children and I dont want to risk my fertility.
So I did the Ca-125 test yesterday and I will get the results Mon. - I have heard mixed opinions on that test as I mentioned In my previous post- do you or anyone else reading this have any ideas on this matter?
I guess I just figured that if the #'s were really high I would
just go ahead and have somone go in there and have a look around- and if the #'s are low I will wait the three months?
So realisticly ther is no way to tell if these are symptoms of Endo accompanied by endometrial cysts, Ovarian cancer or hemmoragic cysts-
The "specialists" think the large cyst is hemmoragic- what to do ?
Should hemoragic definately be removed or is ther some way It can deteriorate and be absorbed by the body?
Also,lets say ,its not ovarian cancer - Am I right in thinking that an endometrial cyst (chocolate cyst), or a hemmoragic cyst could be making me feel all the symptoms i mentioned before- nausea, low grade fevers,pain, cramping, fainting ect. because inside the cyst there is some kind of infection?
I mean are these cysts essentially filled wth infectious material?
Also, what about the scant & short periods since Jan. after the "incident" where I was doubled over feeling like I was dying four three hours? ( (seriously I ve always had BAD period pain and I handle it this was extreme-
THanks Nomi
My own Doc does want me to do the surgery -he says no semi-solid mass in there is a good thing,especially wikind of th the pain its causing me - but the "specialists" think that I sould wait three more months to see if it grows ,and if it grows -then we do something about it.
I know ovarian cancer is rare in young women but as I mentioned in my last post that I just read an article about a woman the same age as me who had Ovarian cancer & by the time they decided to go in there,she had to have a total hysterectomy - I never had children and I dont want to risk my fertility.
So I did the Ca-125 test yesterday and I will get the results Mon. - I have heard mixed opinions on that test as I mentioned In my previous post- do you or anyone else reading this have any ideas on this matter?
I guess I just figured that if the #'s were really high I would
just go ahead and have somone go in there and have a look around- and if the #'s are low I will wait the three months?
So realisticly ther is no way to tell if these are symptoms of Endo accompanied by endometrial cysts, Ovarian cancer or hemmoragic cysts-
The "specialists" think the large cyst is hemmoragic- what to do ?
Should hemoragic definately be removed or is ther some way It can deteriorate and be absorbed by the body?
Also,lets say ,its not ovarian cancer - Am I right in thinking that an endometrial cyst (chocolate cyst), or a hemmoragic cyst could be making me feel all the symptoms i mentioned before- nausea, low grade fevers,pain, cramping, fainting ect. because inside the cyst there is some kind of infection?
I mean are these cysts essentially filled wth infectious material?
Also, what about the scant & short periods since Jan. after the "incident" where I was doubled over feeling like I was dying four three hours? ( (seriously I ve always had BAD period pain and I handle it this was extreme-
THanks Nomi
A cyst with solid and cystic components is usually called a complex cyst. Complex cyst are usually not cancer but can be cancer. You mentioned you have endo. An endotrima (blood filled cyst) can look like a complex cyst on an u/s. Endomitra's are not cancer. It is possible for pre-menopausal women to get cancer. I was diagnosed with a complex cyst at the age of 33. My gyn told me it wasn't cancer - I got a second opinion. My main symptoms related to the complex cyst were - very short (30-60 sec) but intense stabbing pains in my pelvic area. I also had, extreme fatigue, had weird dizzy spells with headaches, severe gas day and night, increased urinating, weight gain. Mine ended up being a stage 1 LMP ovarian cancer - treatable with surgery - no chemo needed - and very little chance of it recurring (still have follow-ups thou).
Your cyst hasn't grown - that's good news - especially for the amount of time. I was also found to have endo (which I didn't know) at surgery. Only you know your body, if you're concerned you should suggest surgery - laproscopy is the easiest. The second dr I got also said he didn't think my cyst was cancer but that he couldn't know for sure until it was biopsied. My CA-125 was 66 before surgery (0-35 is normal). Not in a high range to suspect cancer either.
I'm also puzzled by your dr's reluctance to do surgery, as surgery is often done on those with endo to relieve symptoms. Press for the surgery if that's what will ease your mind.
Take Care
Chelan
Your cyst hasn't grown - that's good news - especially for the amount of time. I was also found to have endo (which I didn't know) at surgery. Only you know your body, if you're concerned you should suggest surgery - laproscopy is the easiest. The second dr I got also said he didn't think my cyst was cancer but that he couldn't know for sure until it was biopsied. My CA-125 was 66 before surgery (0-35 is normal). Not in a high range to suspect cancer either.
I'm also puzzled by your dr's reluctance to do surgery, as surgery is often done on those with endo to relieve symptoms. Press for the surgery if that's what will ease your mind.
Take Care
Chelan
Thankyou so much for your prompt response!!!
My Dr. suggests I do surgery but he's a gen. practitioner- these "specialists" are at the County hospital - and I hate to say it, but I think they dont want to do the surgery until the last resort because its free medical care.
All the Dr.'s Ive paidhave given me these reccomendations - one says cystoscopy,the other hysteroscopic evaluation. and the third laporoscopic evaluation.And at county they stillwant to play the waiting game...
What is the difference between all these and wich one is the least invasive ?
Wow! I cant believe you had Ovarian cancer so young, Im only 32- And all tha Doc's say- "at your age its so rare"
Well you were my age when diagnosed -and in this article I read in Prevention magazine,a girl was diagnosed w/ ovarian cancer at 29-They all told her to wait because it could be endo - by the time they went in there she had to have a total hysterectomy -she had never had children
Im in no rush to have kids but Im now concerned ,that if by chance it is ovarian cancer and I wait to long I could face the same thing-
May I ask , how old are you now, do you have children ?
Did you have any children after the surgery & if so was it harder to concieve?
Also did you have any gyn. problems following the surgery?
How was your health in general before the sugery ?
Do you have a history of gyn. cancers in your family?
Thankyou so much- Nomi
My Dr. suggests I do surgery but he's a gen. practitioner- these "specialists" are at the County hospital - and I hate to say it, but I think they dont want to do the surgery until the last resort because its free medical care.
All the Dr.'s Ive paidhave given me these reccomendations - one says cystoscopy,the other hysteroscopic evaluation. and the third laporoscopic evaluation.And at county they stillwant to play the waiting game...
What is the difference between all these and wich one is the least invasive ?
Wow! I cant believe you had Ovarian cancer so young, Im only 32- And all tha Doc's say- "at your age its so rare"
Well you were my age when diagnosed -and in this article I read in Prevention magazine,a girl was diagnosed w/ ovarian cancer at 29-They all told her to wait because it could be endo - by the time they went in there she had to have a total hysterectomy -she had never had children
Im in no rush to have kids but Im now concerned ,that if by chance it is ovarian cancer and I wait to long I could face the same thing-
May I ask , how old are you now, do you have children ?
Did you have any children after the surgery & if so was it harder to concieve?
Also did you have any gyn. problems following the surgery?
How was your health in general before the sugery ?
Do you have a history of gyn. cancers in your family?
Thankyou so much- Nomi
Well, it is true that cysts can be cancerous, but the probability of a cyst being malignant is very, very low. And there are cysts which are functional and normal, and do resolve on their own without surgery.
I am puzzled by your doctors' reluctance to perform surgery when it is obvious that you do have a cyst or two or more, as well as a probable case of endometriosis, with pain and discomfort added to that, along an ovary that they believe might have been twisted by the cyst. Anyone of those problems could result in surgery - surgery designed to relieve the conditions or at least the symptoms of the conditions. If you should have an endometrioma cyst like I had, then time will not be of any help with the matter. These cysts do not resolve on their own, at least not in a satisfactory manner - if they rupture and spill the contents into the abdomen, severe pain and an infection can result. Do you have other heath conditions that are playing into the decision whether to have surgery?
Perhaps you should seek the advise of yet another doctor.
I am puzzled by your doctors' reluctance to perform surgery when it is obvious that you do have a cyst or two or more, as well as a probable case of endometriosis, with pain and discomfort added to that, along an ovary that they believe might have been twisted by the cyst. Anyone of those problems could result in surgery - surgery designed to relieve the conditions or at least the symptoms of the conditions. If you should have an endometrioma cyst like I had, then time will not be of any help with the matter. These cysts do not resolve on their own, at least not in a satisfactory manner - if they rupture and spill the contents into the abdomen, severe pain and an infection can result. Do you have other heath conditions that are playing into the decision whether to have surgery?
Perhaps you should seek the advise of yet another doctor.
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