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What does a complex ovarian cyst containing a single thin internal septation mean?

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what does a complex ovarian cyst containing a single think XXXXXXX septation wiht no XXXXXXX vascularity demonstrated and no free fluid mean
Posted Sun, 25 Nov 2012 in Women's Health
Answered by Dr. Asra Ishtiaq Ahmed 25 minutes later
Hello there.

Thanks for writing.

A complex cyst is any mass of the ovary having solid and/or cystic components with septations or excressances (projections on the surface).

Septations refers to dividing lines which compartmentalize your cyst.

Vascularity refers to blood flow in the area of cys which is seen in an active tissue with inflammation or increased cell division.

No free fluid refers to no fluid found collected in the abdominal cavity which occurs usually with cancerous cysts.

Any complex mass with any of the above features beyond the age of 40 must be evaluated immediately to ensure that cancer is not present.

The complex cyst in your case can be a dermoid cyst, infected ovarian cyst,serous or mucinous cyst of the ovary.

Dermoid cysts are the most common complex masses of the ovary. They are benign with only 1% or less of dermoids being cancerous.

Serous cysts are composed of thin fluid and mucinous cysts contain thicker fluid. They are usually benign(harmless) and present as complex masses. Cancer can occur in either of these types of cysts with serous cyst being the most common.

Definite diagnosis of cancer can only be made on tissue diagnosis obtained after removal of the cyst.

CA125 is a blood marker found high in ovarian cancer but is NOT DIAGNOSTIC. It is used only for understanding the prognosis and for follow up.

Since ovarian cancer has long term survival in the earlier stages, it is important that complex masses be evaluated, followed closely or removed and prevent progression of disease to higher stages.

So you have two options.
You can either follow it up with a repeat ultrasound 3 months later or go for a definite procedure like surgery now.

The definite management will depend more on the size, if its more than 4 cm, complex cyst it is unlikely to resolve on its own.

I hope I have answered your query.

take care.
Above answer was peer-reviewed by
Follow-up: What does a complex ovarian cyst containing a single thin internal septation mean? 1 hour later
Thankyou that is great information. I've already had a hystorectomy is having the ovaries removed a difficult procedure and how do they do it.
Answered by Dr. Asra Ishtiaq Ahmed 1 hour later
You are most welcome for queries.

Thanks for writing back.

No ovary removal is not a difficult procedure.

The only difficulty in your case can be that you have a previous history of surgery particularly hysterectomy. This is because it can result in adhesions (scarring) in the abdomen and pelvis. So at times these adhesions can cause difficult removal.

Kindly revert back if you have any queries.

Take care.
Above answer was peer-reviewed by
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