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  • Complex ovarian cyst

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    Old 12-17-2010, 10:53 AM   #1
    azlisa60
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    Complex ovarian cyst

    I am 50 years old and lately have different medical issues come up and starting to get a little concerned. Ok let me start from begining. A year ago I had a cat scan and ultrasound done for my gall bladder. Ultrasound showed liver abnormal so had cat scan. I was told everything was fine and I had gall bladder removed. A year later when it for my regular check up with new doctor (old doctor moved out of country), and he asked if anyone followed up on lesions on my liver or simple cyst on my right ovary? I was shocked since I never knew of either, so he scheduled a cat scan and ultrasound. Cat scan came back with enlarged liver and spleen and know I have an appointment with GI specialist next week. On ultra sound I was told I have an 8cm complex ovary (not sure of the type) and also another simple cyst like 1-2cm's. Doctor referred me to a gyn and I go next week. I dont have really pain per say, sometimes a sharp pain in the pelvic range, but I am nausaous at least a couple of times a day, I haved had diareahea for the last couple of month on a regular basis, breasts are senstive. I am nervous about all of this, am I just over analyzing things??
    Read more at http://www.healthboards.com/boards/showthread.php?t=641010&page=5&ktrack=kc plink

     
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    Old 12-20-2010, 04:51 AM   #2
    estria
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    Re: Complex ovarian cyst

    Hi Lisa,

    Are you menopausal yet ? This is important because if you are still menstruating the 1-2 cm simple cyst is most likely a normal functional cyst. As for the 8 cm complex cyst, more than likely your gynecologist will recommend that you have the ovary removed, just to be on the safe side. 90% of these are benign and complex ovarian cysts are quite common in women (even menopausal women). However, because you are menopausal (or close) and you should therefore not be ovulating, doctors always prefer to remove these and be absolutely sure that all is well.

    You may want to ask your gynecologist about the CA-125 blood test which is a cancer antigen test for ovarian cancer. This test is not the most accurate of tests and there is a chance of getting a false positive (it showing high when everything is normal) but for menopausal women it is supposed to be reasonably accurate. Talk to your doctor about it.

    As for the lesions on your liver, I cannot really address this as my personal experience has been with ovarian cysts (I had my left ovary removed due to a 9 cm cyst). A liver specialist might be a good idea perhaps, especially if you are anywhere near a university centre. The gastro can certainly lead you in the right direction.

    Try not to panic during your wait to see these doctors. Instead figure out what questions you want to have answered at your appointments and write them down. Try to prioritize the questions in case you run out of time. Ask any questions that will help you to put your mind at ease .. even if those questions include a worse case scenario (sometimes we women want to know what is the worst that can happen, even though this is not very logical).

    Try to take good care of yourself in the meantime. This means taking as many shortcuts as possible for the Christmas preparations and treating yourself like a queen. This time of year has a way of putting additional stress on the shoulders of women who already have enough to carry.

    All the best.

    Estria

     
    Old 12-20-2010, 07:20 AM   #3
    azlisa60
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    Re: Complex ovarian cyst

    I am premenopausal as per what my doctor states, my period has been irratic for months now and he has me on zoloft for sleep and mood swings. I am trying not panic but you know how we woman analyze things to death. I go to the gastrointestinal doctor on Wednesday for enlarged liver and spleen, then go Thursday to gynecologist. I will definately ask about the CA-125 test. This nausea is tough sometimes, I get it 2-3 times a day out of the blue and just have to sit and let it pass. Thanks for all the kind words and praying everything will be ok. Hope you and your family have a wonderful christmas.

    Lisa

     
    Old 12-20-2010, 08:35 AM   #4
    estria
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    Re: Complex ovarian cyst

    Hi Lisa,

    If you can tolerate Gravol, perhaps this will help your nausea. Gravol also make a natural ginger tablet which won't have the drowsiness side effect of the drug.

    All the best.

    Estria

     
    Old 12-28-2010, 10:34 AM   #5
    azlisa60
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    Unhappy Re: Complex ovarian cyst

    OK I went to both specialist last week and even more frustrated. Gastronologist ordered a tumor marker even though she said it was fine then yesterday there office called and she wants me back to 2 weeks to discuss liver biopsy. With the gyno he wants another ultrasound of ovaries in middle of June and ordered a CA-125 which I had done last Thursday. Have not heard on either test but getting nervous and anxious.

     
    Old 12-28-2010, 12:14 PM   #6
    azlisa60
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    Re: Complex ovarian cyst

    Ok on the tumor marker Nurse said it was normal along with my liver functions but they are still possibly wanting a biopsy which I dont understand why. As to the CA-125 I am still waiting on the results also when Gyno examed me he said he could not feel cysts, is that normal?

     
    Old 12-28-2010, 09:10 PM   #7
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    Re: Complex ovarian cyst

    Hello,

    Try to hang in there as best as you can. Waiting and not having any information has got to be the most frustrating thing EVER. I am certain that they already have the results of the CA-125 so try to phone your gyne to get the results of this. Anything under 35 is considered normal and for some women, even a higher score is normal for them. If the test comes back in the hundreds then you know that more needs to be done ... beginning with redoing the test because sometimes they screw up these tests and get the wrong result.

    They should also get the results of the CA-19-9 (I think this is the cancer antigen number for the gastro test) fairly quickly. The blood tests usually only take a day or two at most.

    Try not to get too anxious. Your gastro may simply want to do more tests or he may want to discuss a possible strategy to keep an eye on things for the future. As difficult as it is, try not to jump to any conclusions before you have all of the facts. I have found that keeping busy is the best way to make the time pass while you wait for results. Try to find something that you can really immerse yourself in so that you can try to take your mind off of things for a while. A book, movie, concert, class or anything that you usually enjoy doing. It will give your brain a bit of time off from the constant anxiety.

    Try also to take good care of yourself in the meantime. I will be thinking of you and sending you positive thoughts.

    ((HUGS))

    Estria

     
    Old 12-28-2010, 09:17 PM   #8
    estria
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    Re: Complex ovarian cyst

    Hello again,

    I just read your last post.

    Great news about your liver function. As for the biopsy, ask why he thinks it is necessary and what would happen if you don't have the biopsy. You may also wish to get another opinion if you feel that it is warranted.

    As for the ovarian cyst, yes it is possible not to feel the cyst. My general practitioner did not feel an 8 cm cyst on my left ovary (this is quite large). My gyne was able to feel it, however, but it took her a while to find it. The only way to know for sure about an ovarian cyst is to do an ultrasound. The CA-125 result should also be known by now so try to get this result. Try to stay on top of the ovarian cyst with ultrasound. Again, if you are unsatisfied with what you are being told, don't be afraid to get another opinion from a second professional.

    Let us know what your gastro says regarding the biopsy and how your CA-125 results come back. Hopefully the ovarian cyst will resolve on its own (sometimes they do).

    All the best.

    Estria

     
    Old 01-06-2011, 01:36 PM   #9
    infodriven
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    Question Re: Complex ovarian cyst

    I saw your post and thought it sounded familiar. I am 51 and am not sure if I'm completely menopausal or peri menopausal since I had and IUD for 3 years and that can cause the cessation of menstrual periods. However I was experiencing hot flashes, etc so if not totally menopausal I'm on my way. I had a ultra sound on Tuesday Jan 4th. I was being tested for changes to my endometrial lining since I have experienced some period like bleeding for several months now after a long time w/o. They discovered a "complex cyst" on my left ovary. My right ovary was removed w/ tube and partial left ovary when I was 21 due to Dermoid Tumor. I went today for a endometrial biopsy with my GYN to rule out cancer of the uterus. He said the cyst was worrisome. I asked if it could be another dermoid and he said "they do not come back" however after looking at my film that I took to him (my General Practioner ordered the Ultra Sound since she was prescribing biodentical hormone therapy for my hot flashes) he said it did look a little like it had dermoid characteristics. My ultra sound described my cyst as complex cystic mass of the left adnexa containing multiple posteriorly enhancing nodules some anechoic and some possess low level echoes The larges complex cyst measures 3.2 x 3.1 x 1.3 cm and a fibroid 3.5 x 4.2 x 3 cm. My GYN did a CA125 blood test to see if levels are elevated (for ovarian cancer). I'm scared but trying to be optimistic. Have you learned anything else yet?

     
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