Ovarian Cyst for 2 years now 83x75x60mm living in Egypt

[Jane_A]

I was diagnosed in Jan 2008 with an ovarian cyst that was 45x42x40 it was recommended to wait and see. Today I had another scan and it is 83x75x60mm.. Living in Egypt you have to do a lot of self doctoring so I would appreciate lots of advice. I shall probably have to go to Cairo for treatment which is 50 minutes flight away so I need to be well  prepared with questions and options. Doctors here don't tend to discuss things much and are not always up to speed.

The cyst is thin walled, clear fluid filled with septations or soft tissue components. I am 54 and post menopause 4 years

[Jane_A]

I am post menopausal so I don't think it will make any difference but I would really appreciate someone explaining what all that means all the dr's in Cairo say is it is not cancer

[TrudieC]

Wow, you had surgery already!  Yes, you would be much reduced and fantastic news that all is benign.  Sounds like you had endometriosis, a functional cyst on one ovary and a dermoid on your other.  With the endometriosis gone you should feel a lot better.  I hope all goes well with your recovery and that you can manage the hormones sufficiently.  Rest, rest, rest.  Thanks for letting us know.

[Jane_A]

I am a much reduced woman

They give you everything you have paid for so I got the path lab report and the slides! I am going to copy it below and if you could translate it into English at any time I would be grateful. The second cyst was identified on ultrasound before the op but the fibroid was not. The doctor took a photo of the contents on his mobile phone and I saw them the cyst was huge. Actually I think him taking the photo was interesting. Are specimens this large unusual?

Subtotal Hysterectomy and Bilateral Salpingooophrectomy

Gross
Specimen received is a uterus with both adnexae attached. The uterus measures 6 x 6 x 5 cm opened at 12 o'clock position showing thickened and hemorrhagic endometrium. The myometrium is 3am with a small fibroid 1 x 0.5 cm. A RT ovary is 4 x 3 x 2 c, a par-ovarian cyst measuring 10 x 10 cm. The left tube is 7 cm. The left ovary showed a cyst measures 7 x 5 x 5 cm filled with sebaceous material and matted hair.

Micro
Section of the endometrium revealed chronic non-specific endometritis. The hyperplastic glands are focally crowded and lined by 1-3 layers of tall columnar non secretory cells with plump nuclei. The myometrium showed benign cellular leiomyoma. No significant nuclear anaplasia or mitosis. The RT ovary showed a benign par-ovarian cyst. The left ovary shows a mature cystic teratoma (dermoid cyst). No evidence of malignancy seen.

DIAGNOSIS
SUBTOTAL HYSTERECTOMY AND BILATERAL SALPINGIO-OOPHRECTOMY. CHRONIC NON-SPECIFIC ENDOMETRITIS ASSOCIATED WITH BENIGN LEIOMYOMA AND BENIGN PAR-OVARIAN CYST OF RIGHT OVARY AND MATURE CYSTIC TERATOMA (DERMOID CYST) OF THE LEFT OVARY. NEGATIVE FOR CANCER.

[TrudieC]

A cyst of that size will need to be removed.  Do insist that they rule out ovarian cancer.  It is very unlikely you do but if they feel there is any chance then they should have a gyn/onc prepared to step in during your surgery.  Unless you have a lot of adhesions from previous surgeries or they consider the cyst suspicious, you can likely have it removed via laporascopy.  This will shorten your recovery time.  Do ask them to run a CA-125 test.  This by no means is a reliable test but it can be helpful.  Good luck and do let us know how it goes.