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Complex Ovarian Cyst - Surgery?
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beancounter99 posted:
I was recently told that I have a large complex ovarian cyst that could be cancerous. My options were to wait 6 weeks for another ultrasound (to see if it gets bigger/smaller) or to be referred to a specialist for surgery. I chose the referral. My grandmother passed away at age 69 from ovarian cancer so I am at higher risk. I am in my mid 40's and plan to have no more children. My question is...is there any reason NOT to just go ahead and have the cyst removed? And maybe the ovary as well? I'm concerned with waiting to see what happens knowing how deadly ovarian cancer can be.
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Anon_6061 responded:
Most ovarian cysts are benign, including complex cysts. However, since it's large and you have a family history of ovarian cancer, it would make sense to consult an oncologist.

Since the ovaries continue to produce hormones into a woman's 80's for optimal health, removal of just the cyst (cystectomy) would give you the best chance of continued normal hormone production. According to this link http://www.ovaryresearch.com/ovarian_cysts.htm, most cysts can be removed while preserving enough ovarian tissue for hormone production. But there are cases where the ovary cannot be saved. Of course, if the frozen section done at the time of surgery shows malignancy, the surgery could take a whole other course. Ovary removal for benign conditions is common so make sure you understand your surgeon's skills and your treatment options and make them clear on your surgical consent form.

I was over-treated and my quality of life and health have suffered ever since.


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