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Dermoid cysts
Just found out I have a dermoid cyst and am waiting to speak to my consultant. Can anyone give me further information on them and what treatment to expect
Hi
I had 10 cm dermoid on my right ovary and a 6 cm dermoid on my left ovary. Had both removed by Laparoscopy (keyhole) and I kept both my ovaries. My gyn said they would only take the ovary out if the dermoid had taken over the whole ovary which thankfully they had not.
All the best
I had 10 cm dermoid on my right ovary and a 6 cm dermoid on my left ovary. Had both removed by Laparoscopy (keyhole) and I kept both my ovaries. My gyn said they would only take the ovary out if the dermoid had taken over the whole ovary which thankfully they had not.
All the best
Well...I'm starting to feel like if it's not bothering me and it's benign my outlook is better about it than when they found it. It was actually found on a MRI that I had for my hip osteoarthritis. Had no idea it was there and no symptoms. I am 61 years old and 10 years ago had a couple of uterine fibroids and they disappeared. Most everything I've read tends to think you shouldn't rush into surgery if they're not at least 5 cm. Actually my doctor couldn't even feel it during an examination. I will go to get another ultrasound and keep tabs on it. Do feel that sometimes you shouldn't rush into surgery when it isn't necessary. Feel sorry for you with your pain but I have basically non...oh I've felt a twinge at times but I've felt twinges all over my body at one time or another. Good luck.
Hi ladyvol3, I had to chase after my consultant and she told me it was 4 cm and didnt look nasty. It will be weeks before I hear whether she is going to remove it or not. I presented to her with lots of symptoms, bloatedness, pain in sides, backache, etc but she tells me these symptoms have nothing to do with my dermoid cyst! I would really prefer to have it removed. I googled dermoid cysts and made myself queasy thinking about them. I have a feeling my doctor wont remove it and I feel I have no say......
Hi ladies,
In reality they cannot say for sure what any complex cyst/tumour is on ultrasound. Only having it removed and tested is a 100%. They normally also only remove complex cyst/tmours at 5cm or more. If a cyst is purely fluid filled functional cyst without solid parts, they may watch and wait or may consider draining the cyst and it will go away. Anything larger than 5cm and is solid or partly solid/cystic should be removed. This is due to twisting/torsion of the ovary, bursting and at the very least malignancy.
Dermoids have a variety of appearances on ultrasound due to their mixed nature of contents, fat, hair, sebaceous greasy material and even teeth. They can mimic other ovarian growths such as endometriomas, hemmorgraphic cysts and even malignant tumours.
I had an ultraound back in October last year which they thought was a 10cm endometrioma, when I went for surgery, the Gyno only drained it (my opinion he shouldnt have done, but thats a long story of the whys and reasons!) it wasnt an endometrioma, but the yellow fluid extracted he suggested it was a dermoid but he wasnt sure due to no hair being extracted (but maybe thats because no hair just got sucked up the needle). 6 weeks later an ultrasound showed a 7cm solid mass, so I was booked in for open surgery 11th January, only to then find out beforehand I had fallen pregnant (after years and years of trying this was a shock) surgery was cancelled, and I now have it booked for 8th March (not long now) when hopefully it is a safe time for the baby.
In the last 3 scans I have had,although they suspect a dermoid, one sonographer in particular wont commit to saying what she thinks it is. She told me today, complex masses are called complex for a reason - its hard to determine what they are until they are out and tested, she feels I should have had a MRI because an MRI can tell alot more about the layer of tissue inside the growth, however my Gyno disagreed and would not give me one, saying it would not tell anymore info that a scan. I believe the sonographer more, but I guess its all down to money and the NHS health system in the UK.
Mine tumour/cyst has remained at 7cm (since it was drained) and is very rounded so not irregular which is a good sign, but still this doesnt mean to say its benign, the fluid tested from the extraction was benign, but again this doesnt mean to say the solid part left isnt.
In answer to your questions about dermoids, although they may have certain characteristics on ultrasound, this is not 100% accurate, and it could be anything. Dermoids also have at 1-2% chance of malignancy,but this tends to be in older post menapausal woman. Dermoids form from germ cell inside the ovary (the egg cells) and make human tissue.
Calcification in a dermoid is normally in the sign of a tooth, not all dermoids contain teeth. So not all dermoids show calcification.
Best action to take is to have them removed, any complex mass is best to be out than in.
Good luck & Best Wishes
Yvonne
In reality they cannot say for sure what any complex cyst/tumour is on ultrasound. Only having it removed and tested is a 100%. They normally also only remove complex cyst/tmours at 5cm or more. If a cyst is purely fluid filled functional cyst without solid parts, they may watch and wait or may consider draining the cyst and it will go away. Anything larger than 5cm and is solid or partly solid/cystic should be removed. This is due to twisting/torsion of the ovary, bursting and at the very least malignancy.
Dermoids have a variety of appearances on ultrasound due to their mixed nature of contents, fat, hair, sebaceous greasy material and even teeth. They can mimic other ovarian growths such as endometriomas, hemmorgraphic cysts and even malignant tumours.
I had an ultraound back in October last year which they thought was a 10cm endometrioma, when I went for surgery, the Gyno only drained it (my opinion he shouldnt have done, but thats a long story of the whys and reasons!) it wasnt an endometrioma, but the yellow fluid extracted he suggested it was a dermoid but he wasnt sure due to no hair being extracted (but maybe thats because no hair just got sucked up the needle). 6 weeks later an ultrasound showed a 7cm solid mass, so I was booked in for open surgery 11th January, only to then find out beforehand I had fallen pregnant (after years and years of trying this was a shock) surgery was cancelled, and I now have it booked for 8th March (not long now) when hopefully it is a safe time for the baby.
In the last 3 scans I have had,although they suspect a dermoid, one sonographer in particular wont commit to saying what she thinks it is. She told me today, complex masses are called complex for a reason - its hard to determine what they are until they are out and tested, she feels I should have had a MRI because an MRI can tell alot more about the layer of tissue inside the growth, however my Gyno disagreed and would not give me one, saying it would not tell anymore info that a scan. I believe the sonographer more, but I guess its all down to money and the NHS health system in the UK.
Mine tumour/cyst has remained at 7cm (since it was drained) and is very rounded so not irregular which is a good sign, but still this doesnt mean to say its benign, the fluid tested from the extraction was benign, but again this doesnt mean to say the solid part left isnt.
In answer to your questions about dermoids, although they may have certain characteristics on ultrasound, this is not 100% accurate, and it could be anything. Dermoids also have at 1-2% chance of malignancy,but this tends to be in older post menapausal woman. Dermoids form from germ cell inside the ovary (the egg cells) and make human tissue.
Calcification in a dermoid is normally in the sign of a tooth, not all dermoids contain teeth. So not all dermoids show calcification.
Best action to take is to have them removed, any complex mass is best to be out than in.
Good luck & Best Wishes
Yvonne
I was diagnosed close to 3 months ago with a 1.8 cm crystalized dermoid cyst and have been going to every website I have been able to get to to read about it. Have no pain or problems of any sort and was told to wait a few months and then have another ultrasound. Reading so many sites can be a little confusing and I can't decide whether they will remove it before it reaches 5 cm or not. Have they told you the size or anything else about your cyst? They feel mine is benign and the transvaginal scan showed the endometrial stripe to be at 2 mm in thickness. I guess the word calcified is one I haven't read about before but maybe all dermoids are calcified. Like you...want to hear from anyone who has had this kind of diagnosis.
Shelly, thank you so most for your answer-have been up all night worrying. Am going to push today for an appointment. I just want straightforward answers but am so frustrated that I cant get speaking to my consultant. Will post again when I get sorted. Shelly, someone taking the time to answer means so much to me, Eileen
Dermoids always need to be removed because they contain fat, hair, nails, etc. These components can cause infection if they rupture. Any complex cyst (dermoids are complex) that reach 5cm or larger need surgical removal intact. This is best performed by a gynecologic oncologist. Most complex cysts do turn out to benign, but, any complex cyst has a "chance" of being malignant. So, it is important to get prompt care and make sure all is well. If your dermoid is over 5cm, you will likely need a laparotomy to remove the mass and your ovary will also likely be removed. Good luck in your future treatment and please keep us posted on how you are doing!
Shelly
Shelly
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