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Does A Complex Ovarian Cyst That Is Septated With Thick Walls Become A Simple Cyst?

Posted on Thu, 2 Apr 2015

Question: I would like to know if it is possible for a complex ovarian cyst that is septated with thick walls that has been present for 3 years, to become a simple cyst.

Answered by Dr. Sameer Kumar (4 minutes later)

Brief Answer:
no it is not possible,,its a misinterpretation or false report

Detailed Answer:
Hello,
Thanks for the query to HCM,
If the cyst hs been a complex ovarian cyst and then with thick septations, then it cannot become a simple , non separated follicular cyst.
At 49 years of age, a simple cyst is unlikely.Also confirmation a complex cyst should be made with an MRI .A complex cyst can be an ovarian cancer and would require tumour markers to be investigated like CA125, CEA, AFP, BETA HCG., which is mandatory.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sameer Kumar (4 minutes later)

Thank you very much!

Answered by Dr. Sameer Kumar (1 minute later)

Brief Answer:
thanks

Detailed Answer:
you are most welcome.
thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sameer Kumar (19 minutes later)

May I send the original ultrasound report that prompted the folow-up?

Answered by Dr. Sameer Kumar (5 minutes later)

Brief Answer:
yes please

Detailed Answer:
yes you may send it across , the old and the fresh one, both as attachments.
regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sameer Kumar (5 minutes later)

I do not have the US from last week, as it was a hand written report from the US tech, just said, cyst was 4 cm x 3 cm and was a simple cyst. I didn't believe it.

Answered by Dr. Sameer Kumar (6 minutes later)

Brief Answer:
answered

Detailed Answer:
the ultrasound attached with the question clearly states the presence of a complex cyst with septations of size 4x4 cm in size in the left ovary where the cyst occupies a large area and the remnant ovarian tissue is left peripherally .
This is most likely to be a ovarian tumour.
Please get the tumour markers done,
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sameer Kumar (2 minutes later)

Thank you very much, would a MRI be a reasonable follow-up? The CA-125 has been done, but I also know that this test can be very inaccurate.

Answered by Dr. Sameer Kumar (31 minutes later)

Brief Answer:
yes MRI is must

Detailed Answer:
Yes MRI FOLLOW UP IS MUST . Also all the 4 tumour markers have to be done before establishing a diagnosis. CA-125 more than 200 along with raised CEA would indicate a ovarian cancer, though staging is always surgical.
regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sameer Kumar (1 minute later)

Dr. XXXXXXX
Thank you so much for answering my questions today. You have helped me make some very important decisions regarding changing healthcare providers. I wish you the best.
Thank you again, XXXXXXX

Answered by Dr. Sameer Kumar (7 minutes later)

Brief Answer:
Thanks

Detailed Answer:
Thanks ,
I am happy to be of your assistance in taking an informed decision.
Wishing you good health,
Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar