Ovarian Cyst without ovaries

[raccoonlady]

I have had a hysterectomy and both ovaries removed years ago.  I just got an initial pathology report back from a surgery I had a week ago and it said the mass they took out showed portions of hemorrhagic corpus luteal cysts and no endometriosis.  After I had a ultasound before the surgery they thought it was cancer.  After the surgery the surgeon said she thought it was a endometrioma.  Now the report is coming back saying its basiclly a functional cyst when I don't have ovaries and I have gone through menopause.  How is any of this possible?

[Annekathryn Goodman, M.D.]

HI There,
yes , that can happen. Bleeding into a cyst of ovulation can sometimes look very dramatic . It can also look like endometriosis.

Now that the report has come back showing no sign of endometriosis or cancer, it would be safe to start a low dose estrogen replacement.  Reports (The Women's Health Initiative (WHI)) suggest this is safe to do into your sixties.

best wishes

[raccoonlady]

The pathology report says:
-Portions of hemorrhagic corpus luteal cyst(s) wall
-H&E sections demonstrate portions of luteinizing follicular cyst wall with areas of organizing hemorrhage
-Suggest clinical correlation