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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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A New Cystic Area On The Right Pelvic Sidewall Seen. Had Laproscopy, Left Oopherectomy. How To Check If It Is Benign ?

Hi, I am very concerned. I just was in the ED and had a CT scan and it read that I have a new cystic area on the right pelvic sidewall measuring 8.5cm in AP by 6.3cm in transverse dimension. This measures 4.7cm in craniocaudad dimension. Single septation.

I have had a TSH and left oopherectomy and only the right ovary remains. I am 45 years old and everything I am reading online is scaring me about the size of this cyst.
I just had a laparoscopy in April to remove adhesions and this wasn't there. How could a cyst grow that quickly?
Is it a high percentage that large (>7cm) cysts are cancerous? How can it be diagnosed as beneign or not? is that only through laparoscopy?
Thank you for any thoughts. I am very nervous!
Sat, 24 Aug 2013
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General & Family Physician,  's  Response
Hi thanks for using HCM.

Be relaxed. Only with the ct report we cant tell whether it is benign or malignanat. We want more information. Best way to diagnose is to observe under microscopy about the cells charecteristics.

To diagnose whether it is benign or cancerous you can opt
1. FNAC. Under USG guidance. One of the good way to diagnose solid tumors.
2. Laparoscopy. Can be both diagnostic and therapeutic. The best way.
3. Doppler scanning to see the blood supply. Non invasive and can tell whether benign or cancerous. But not reliable.

Hope this answered your question.
Regards
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A New Cystic Area On The Right Pelvic Sidewall Seen. Had Laproscopy, Left Oopherectomy. How To Check If It Is Benign ?

Hi thanks for using HCM. Be relaxed. Only with the ct report we cant tell whether it is benign or malignanat. We want more information. Best way to diagnose is to observe under microscopy about the cells charecteristics. To diagnose whether it is benign or cancerous you can opt 1. FNAC. Under USG guidance. One of the good way to diagnose solid tumors. 2. Laparoscopy. Can be both diagnostic and therapeutic. The best way. 3. Doppler scanning to see the blood supply. Non invasive and can tell whether benign or cancerous. But not reliable. Hope this answered your question. Regards