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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Lower Abdominal Pain, Lump In Stomach, Cyst Found From Adnexa. Is It Cancer?

Hello, I am 35 years old and 8 months post delivery and have recently experienced pains in lower abdomen and felt a large lump in my stomach, i have only felt these symptoms in the last 6 weeks once I stpped breast feeding. I had an appt at my GP and was sent to have an urgent scan to which they found a complex cyst measuring 17-18cm in length arising from right adnexa. I have had my bloods to see my CA125 levels and have been referred to the Gynaecologist and have been told the cyst needs to be removed surgically and fast. My biggest and most immediate concern is that it is cancer. There is no history of ovarian , breast or cervical cancer in my family however my father did die of pancreatic cancer . I am terrified as I have two young children and do not want the cyst to be malignant. I want to know what the chances are of it being malignant? Thank you as I am feel sick to the core with worry. Anna
Wed, 27 Feb 2013
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General Surgeon 's  Response
Hello!

Thank you for the query.

You need to know that it if this cyst would be malignant, it would kill you before reaching half of mentioned size. So if it has reached 18 cm, most likely this is benign lesion what is a good news for you. However you should follow as advised by your gyneacologist.
One more thing, breast and ovarian cancer in family makes you very suspicious of BRCA1/BRCA2 genes mutation. Therefore, you should consult oncologist or genetics and perform BRCA1/BRCA2 mutation tests.

Hope this will help.
Regards.
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Lower Abdominal Pain, Lump In Stomach, Cyst Found From Adnexa. Is It Cancer?

Hello! Thank you for the query. You need to know that it if this cyst would be malignant, it would kill you before reaching half of mentioned size. So if it has reached 18 cm, most likely this is benign lesion what is a good news for you. However you should follow as advised by your gyneacologist. One more thing, breast and ovarian cancer in family makes you very suspicious of BRCA1/BRCA2 genes mutation. Therefore, you should consult oncologist or genetics and perform BRCA1/BRCA2 mutation tests. Hope this will help. Regards.