left Ovarian dermoid measuring 6 cm diameter on MRI

[DeeVin]

hello!,

I am 25 year old, unmarried, Indian software engineer. Tow months ago on a routine pre employment medical checkup, I was diagnosed with a left ovarian cyst appox 190 cc on Ultrasound scan. This finding was more of an accident as I have never had any such symptoms. I have a normal 5 day menustral cycle once every 28 days. The Gynec advised an MRI. The MRI report confirmed that it was a left ovariam dermoid. My Gynec is now insisting that I get it removed as soon as possible ( when the dermoid is not interferring). She hopes that it can be removed through laproscopy, but is hesitating to confirm on the same stating that it is too huge and may be she will have to cut open to remove it.

Can this dermoid not be removed through laproscopy?
Do I indeed need hurry? Can I not wait? Is this am emergency?
Will it hinder my fertility?
What symptoms do I need to look out for?
What are the chances of another such cyst comming up in the same place?

Please suggest at the earliest,
Regards,
D

[mbrilo]

I had problems during intercourse, so I made an appt with my OB GYN.
She did an ultrasound and found that I have a 3cm cyst on my left ovary.
She did another one in a month and a half and found out that it grew to 6cm.
She wants to do surgery. She said that it looks like a Dermoid cyst.
I went for a sec opinion. The new Dr did blook work, when the results
came back, she found tumor marker in my blood.  She is now reffering me
to a Cancer Specialist. what is the possibility that I might have Ovarian Cancer.
No one in my family has it.

[Jan214]

No one can "guess" at your odds of having OVCA. They say alot of things about OVCA, but the one thing I know is that is does not care what age you are, if family has had it or not, whether a Dr says your odds of having it are slim to none or any of the other **** you hear.  OVCA does what it wants to and you have to be proactive.  I have a long history of O Cysts and now I have 3c OVCA.  Don't screw around and don't ever take no or wait and see as an answer.  See the GYNONC and make sure they do every test possible.  Good luck to you and stay in touch.
Jan

[Jan214]

Apparently the powers that be decided that C_ _ P is not an appropriate word for this forum. It is not like I said S _ _ T!  I did not want anyone to think I was using shocking language.
Jan

[mbrilo]

Thank you very much for your thought. They say that tumor marker can appear in your blood
when you have a regular Dermoid Cyst, Is this correct? or Does having tumor marker means,
that you automatically have OVCA.

[rootietootie]

Hi if the doctor said it looks like a dermoid, then it probably is.  They are easier then most cysts to diagnose from ultrasound because of the things usually found in them such as hair, teeth, bone etc.  You should ask her why she thinks it is a dermoid, that might give you some peace of mind.   Yes, that and many other things can cause different "tumor markers" to be elevated.  Hope everything turns out okay for you.  Shannon

[mbrilo]

I called the Dr and she said that my CA-125, Beta HCG, and AFP came back normal.  But the LDH is 571 (abnornal).  I see that the normal range is 105-333 and she said that Grem Cell Tumor is usually present when this happen.