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

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Posted on Fri, 24 May 2019
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?
doctor
Answered by 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
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14031 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