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10704596 tn?1412127746

complex cyst

Uterus normal in length 10.8cm.  Combined endometrial thickness 8mm which is normal.  there is 10mm heterogeneous focus involving the fundal enndometrium.  the myometrium shows multiple fibroids including 30x30mm fundal mural fibroid, 30x26mm posterior mural fibroid, 23x22mm anterior mural fibroid.  Some fibroids are partially calcified.  

Normal righrt ovary.  Left ovary  shows 3 fairly simple appearing cysts which measure up to 23mm.  In addition there is 39x30mm tubular complex cystic structure in the left adnexa which may represent complex separated cyst or hydrosalpinx.


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11 Responses
667078 tn?1316000935
98% of ovarian cysts are not cancer. They can get big and cause symptoms. What they describe does not sound like cancer. What has your gyn suggested?

Alex
10704596 tn?1412127746
Hello Alex,

I am in agony...so much pain....I've been to emergency hospital this week and decided to leave as the pain got better.   Next week i have a gym appointment.   I want to take it all out...Done with all the pain.......so excruciating .  I can't get anything done

667078 tn?1316000935
Understand that women need their ovaries. With out them there is a good chance you lose your sex life. I have no desire, no orgasms what so ever and extreme pain with intercourse.If you are married you can't say "I am sorry dear no more sex". You also have bone density problems. Night sweats. You have to change clothes and sheets in the middle of the night. Hot flashes. Early menopause. I had cancer so I had to have it all out. No one told me what I was in for. Oh and I have a hernia. My intestines go through my abdominal wall. Just be sure you are not trading one set of problems for another. If you have an ovarian cyst have the cyst removed.

Alex



10704596 tn?1412127746
I already had Fibroid embolization in 2009.  Myomectomy in 2014.   I should have just opted for a hysterectomy the first time.. Would have saved myself so much pain and other surgeries.    Its been a year and a half of this cysts..  coming an going...........I am sorry to hear about everything you went through too.   You must be a super strong woman.  What kind of cancer did you have ?
OH YEAH...Imdid tell my husband no sex....but we been married for 20  years and I have 2 children age 19 and 14.   Just to painful
667078 tn?1316000935
I was diagnosed with Stage 4 clear cell ovarian cancer 4 years ago at the age of 49. I had cancer in 14 places at the beginning. I am also BRCA 1 positive, my aunt and grandmother died in their 50's of ovarian cancer. Chemo stopped working so there is nothing left to be done medically. So I am enjoying my life. If you measure your life in months it is short. If you add up the moments it is longer.

Alex
10704596 tn?1412127746
Going to my Gynocologist appointment today at 3pm.   I always wanted to keep my ovaries and uterus....but don't know what to do ?  
Its the 3.9cm complex cyst I am worried about it being cancer.   How can they remove it ? The easiest way ?  Laprascopic ?   or something else ?   I am dreading doing another major surgery.   I am not sure I want to remove my ovary (left with tube) and uterus.....my family doc recommended that.  

I will research how important the uterus is...for heart and other reasons ?
What are the effects of removing one ovary and uterus ????long term

Thank you for your replies.   You are amazing.  I appreciate it
667078 tn?1316000935
The uterus is not important it is the ovaries. How did the appointment go?
10704596 tn?1412127746
PELVIC AND TRANSVAGINAL ULTRASOUND ON APRIL 5, 2016.

Prevoid bladder volume 350 and post void 35ml for a 10% residuum with no wall lesion and bilateral ureteric jets seen.   Uterus anteverted 11.5cm sagittal.  Endometrium 9mm.  Again, calcification is seen associated with endometrium, coarse and non specific.  There are multiple calcified fibroids throughout with distortion of the endometrium likely related, the largest 3.3cm grossly stable and the next largest 1.7 and 1.6 cm.  Right ovary remains unremarkable.  

In the left ovary complex heterogenous area 6.3 x 3.3 x 4.7 cm a new finding.  this could reflect a complex hemorrhagic corpus luteum cyst, though other aetiology could include endometrioma.  Normal ovarian blood flow on Doppler.  A couple of adjacent follicles measure 1.5 cm.

OPINION:  Multiple calcified uterine fibroids and endometrial calcifications.   Complex cyst new correlation and follow up in 1 to 2  months recommended to reassess.  If it is persistent finding at that time, then pelvic MRI could be considered.

??
10704596 tn?1412127746
My appointment went well.   I got to ask the doctor a few questions.   He said to wait and see if it shrinks....if not surgery laparotomy bikini incision.  We may remove the left ovary and uterus.   Hoping it will shrink.  I want to try to keep m ovary.    But I feel terrible 3 weeks in  a month.    I also have thyroid issues ...but no medication yet. (HASHIMOTO).   I wonder if thyroid could be making this worse ?


Thanks for your reply.  
667078 tn?1316000935
If the fibroids are that bad may be it is time for a hysterectomy. I am sorry you are in pain. It definitely is not cancer. I am no doctor. It is about quality of life. If your life is pain all the time may be you need a hysterectomy.

Alex

2 Comments
Thank you for your advice ... I guess if this complex cyst doesn't shrink I will be doing another surgery so I can have mu life back.  
Thank you for your advice ... I guess if this complex cyst doesn't shrink I will be doing another surgery so I can have mu life back.  
667078 tn?1316000935
Keep me posted. If you are anxious I am here.

Alex
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