“Complex cyst”
A trans vaginal ultrasound found a 1.9 cm complex cyst on my ovary. My doctor ordered another ultrasound in 7 weeks. Do these indicate cancer? Very concerned. I do have history of endometriosis.
Female | 55 years old
7 Answers
Do ca125 if within normal limits nothing to be anxious and repeat pelvic sonogram in 3 months and if no change your doctor can rep
Eat sonogram 6months
Eat sonogram 6months
There are many possibilities including individuals is a hemorrhagic cyst or a neoplasm which could be benign or malignant. Re there are many possibilities including intimate juices a hemorrhagic cyst or in your blood some bitch could be benign or malignant commend a blood test called ova1 or ca125. Then you can repeat your ultesound
The current recommendations for a small cyst is to repeat an ultrasound in 6-8 weeks to assess for any change in size or complexity. With a history of endometriosis, it is most likely a benign hemorrhagic cyst and can resolve on its own. It does not indicate cancer, but the repeat ultrasound is done to make sure it does not change or appear cancerous. I agree with your current physician's recommendations.
No, it does not automatically indicate ovarian cancer. It could possibly be a cyst of endometriosis. If the cyst does not resolve, however, it should be surgically removed in light of your age.
A complex cyst of 1.9 cm is best observed with follow up sonogram like your doctor did. A diagnostic laparoscopy might be indicated if the cyst increases in size or causes pain.
Chunjai P. Clarkson
OB-GYN (Obstetrician-Gynecologist)
This is most likely a benign cyst such as an endometrioma, but any cyst in a postmenopausal patient needs to be followed to ensure resolution. Size and complexity of the cyst on imaging are taken into account in determining management. A blood test can be done in conjunction with ultrasound, but it is more to guide the Obgyn in need for referral to a GynOncologist. There is not a reliable screening test for ovarian cancer yet so age of the patient, menopausal status, characteristics of the cyst, size of the cyst, change or growth noted on ultrasound or other imaging are criteria used to decide management. Family history such as breast or ovarian cancer, or known pathogenic mutations such as BRCA1/2 are also a factors to consider. A family history of ovarian cancer or multiple breast cancers, especially early/premenopausal cancers can be a reason to screen for hereditary cancer syndromes such as BRCA.
Not necessarily. Have another ultrasound on 6-7 weekend with a blood test ca 125.
