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I had an “incidentaloma” — an accidental finding while imaging something else. My left ovary has two complex cysts. Complex in this scenario means the cyst is filled with solid material, not fluid. Possibly malignant. No way to know for sure without removing the ovary.
My OB/GYN recommends removing both ovaries and Fallopian tubes. Or we can take a wait-and-see approach to see if the cysts resolve.
I had an “incidentaloma” — an accidental finding while imaging something else. My left ovary has two complex cysts. Complex in this scenario means the cyst is filled with solid material, not fluid. Possibly malignant. No way to know for sure without removing the ovary.
My OB/GYN recommends removing both ovaries and Fallopian tubes. Or we can take a wait-and-see approach to see if the cysts resolve.
What would you do?
What kind of imaging was it? How large are the cysts? How old are you?
One option would be to remove the left ovary and have the pathologist examine it while you are still under anesthesia. If it is malignant - and we all certainly hope not - then a game plan can be in place to guide what additional surgery should be done. The process, called frozen section, does generate some false positives and false negatives.
I would strongly suggest that you consult a gyn oncologist. Many generalist OB/GYNs do not have a lot of experience with gyn malignancies.
What kind of imaging was it? How large are the cysts? How old are you?
One option would be to remove the left ovary and have the pathologist examine it while you are still under anesthesia. If it is malignant - and we all certainly hope not - then a game plan can be in place to guide what additional surgery should be done. The process, called frozen section, does generate some false positives and false negatives.
I would strongly suggest that you consult a gyn oncologist. Many generalist OB/GYNs do not have a lot of experience with gyn malignancies.
I agree with everything here.
Usually they can and do send path specimens during surgery.
I would not recommend the wait and see approach. Not if it were me.
If it were me, I would not want to miss the opportunity to remove an ovarian cancer when it was very small and potentially curable.
Have you had the CA-125 blood test?
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