Brief Answer:
YES. REMOVAL IS WARRANTED - LAP SHOULD BE TRIED.
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Basically an adnexal cyst that is 5 cm or less can be observed, particularly if it is simple cystic on sonogram ( no internal echoes, solid septations, projections, papillae, fluid mixed echoes ).
A complex cyst even less than 5 cm warrants removal, if persistent, and a simple cyst, larger than 5 cm warrants removal .
To answer your question in one word - Yes, a 10 cm adnexal lesion should be removed.
There are potential complications such as - internal bleeding, necrosis, infection, torsion, adhesion to surrounding structures etc.
The lesion should be removed and sent for biopsy.
Also, pre operatively, a CT scan and CA 125 levels should be done to know the risk of malignancy.
Could you please upload the report of the ultrasound / CT scan / MRI which was done to diagnose this cystic lesion ?
That would help me to be even more specific.
Laparoscopic premoval should be aimed for.
All the best.
Please feel free to discuss further.
Thank you for answering my question.....but I have another lol.....because of the size do you feel that a full hysterectomy will need to be done and also I'am 46 yrs old I've had two children ,I don't get a period ,it stopped completely 6yrs ago never has come back.....nothing no spotting .....it just stopped I have not seen anything in 6yrs which is odd? I was 40 when I last had a period, if I do need a full hysterectomy I'm ok with that just so you know that side of this wouldn't affect me emotionally ......thanks Kelly
Brief Answer:
DETAILED BELOW
Detailed Answer:
Hi,
Yes if you are already menopausal, a full hysterectomy is better for you.
It is not odd, it is just an early menopause.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
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Should A 9.8 Cm Right Adnexal Cystic Lesion Be Removed?
Brief Answer:
YES. REMOVAL IS WARRANTED - LAP SHOULD BE TRIED.
Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Basically an adnexal cyst that is 5 cm or less can be observed, particularly if it is simple cystic on sonogram ( no internal echoes, solid septations, projections, papillae, fluid mixed echoes ).
A complex cyst even less than 5 cm warrants removal, if persistent, and a simple cyst, larger than 5 cm warrants removal .
To answer your question in one word - Yes, a 10 cm adnexal lesion should be removed.
There are potential complications such as - internal bleeding, necrosis, infection, torsion, adhesion to surrounding structures etc.
The lesion should be removed and sent for biopsy.
Also, pre operatively, a CT scan and CA 125 levels should be done to know the risk of malignancy.
Could you please upload the report of the ultrasound / CT scan / MRI which was done to diagnose this cystic lesion ?
That would help me to be even more specific.
Laparoscopic premoval should be aimed for.
All the best.
Please feel free to discuss further.