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How Can A Large Right Ovarian Simple Cyst With Normal CA 125 Be Treated?

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Posted on Wed, 7 Jun 2023
Question: 65 yr old female, large CA125 negative right ovarian cyst. My OBGYN is having a hard time deciding
course of action to take....laparoscopy vs hysterectomy. This was found on routine yearly exam then
ultrasound. Thoughts?
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Answered by Dr. Dr. Rakhi Tayal (49 minutes later)
Brief Answer:
Laparoscopic cyst removal is a better option.

Detailed Answer:

Hello,

A large right ovarian simple cyst with normal CA 125 is less likely to be related to a malignancy. Since the uterus is normal, hysterectomy is not needed. Laparoscopic removal of the cyst is the better option followed by a biopsy which can rule out a malignancy further. Hysterectomy is a major surgery and should be done only if needed.

I hope this answers your query. Wishing you good health.

Regards,
Dr. Rakhi Tayal
OBGYN
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14041 Questions

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How Can A Large Right Ovarian Simple Cyst With Normal CA 125 Be Treated?

Brief Answer: Laparoscopic cyst removal is a better option. Detailed Answer: Hello, A large right ovarian simple cyst with normal CA 125 is less likely to be related to a malignancy. Since the uterus is normal, hysterectomy is not needed. Laparoscopic removal of the cyst is the better option followed by a biopsy which can rule out a malignancy further. Hysterectomy is a major surgery and should be done only if needed. I hope this answers your query. Wishing you good health. Regards, Dr. Rakhi Tayal OBGYN