Hello and welcome to HCM, The current problem that you are facing is that of multiple cysts in the ovary. Ovary is the common site of cysts. These cysts can cause abdominal distention when the size is very large or can cause menstrual irregularities. The ovarian cysts can be cancerous. In order to find out whether the cyst is cancerous or not, they are removed and examined microscopically. However, removal is done only when the cysts become symptomatic or when there is clinical suspicion of cancer. The fluid that was drained initially has shown rare cells. The meaning of rare cells implies that very few cells could be sampled from the fluid. Cancers are usually associated with high cell count. Low cell yield rules out possibility of cancer. You need to stay in touch with your gynecologist for regular follow up for rest of your cysts. Thanks and take care Dr Shailja P Wahal