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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cyst on liver, ovaries. Treatment?

Went into the ER for symptoms of apendicidus, they did CT scan ruled out apendendidus, found a cyst on liver 5.8 cm and cyst on overaies. I followed u[ with primary care dr and ob dr. Primary care Dr sent me Gastrologist to check live, he also informed me the cyst had bben there and has grown, no one bothered to tell me.. What do you think the Dr will do if anything?
Sat, 23 Feb 2013
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Gastroenterologist 's  Response
Hello, rimanu8,
The cysts can occur without any symptoms unless they are very big
and put pressure on the surrounding structures or bleed or even get
infected. Most of them are found during routine sonogram or CT-scan
done for some other reason. Liver cysts can be associated with cysts
in the spleen and also kidneys. Like in your case, ovarian cyst.
Sometimes , a big cyst in the liver called the Hydatid cyst can be
associated with parasites.
Your cyst in the liver is 5.8 cm in size which is not small and requires
close followup. Best thing is to have a sonogram every 6 months and see
if the cyst is growing in size. Bleeding, rupture and infection are the
complications. If there is any suspicion , you need surgery for excision
of the cyst by a competent surgical specialist.
I wish you well.
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Gastroenterologist Dr. Charles S Narasi's  Response
Hello,rimanu8,
These kinds of cysts are usually found on routine sonogram or CT-Scan being
done for some other reason. Liver cysts can be associated with spleen cysts,
kidney cysts or as in your case ovarian cysts. Sometimes, liver cysts are from
parasitic infection , such as a Hydatid cyst. Larger the cyst, chances of more
complications such as bleeding, rupture or infection. Most of the small cysts
don't cause any sypmtoms. Larger ones can cause pressure on the surrounding
structures and give symptoms. Your cyst is 5.8 cm. which is not small.
What I recommend is to have a sonogram every 6 months to see if this
is getting enlarged or changing in any way. If that happens, you need to
have surgery for removal by a competent surgical specialist.
I wish you well.
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Psychiatrist Dr. Sushil Kumar Sompur's  Response
Hi there ~

If anything the doctor will attempt to diagnose what the cyst in your liver is by doing another ultrasound, another CT scan or a guided FNAC (fine needle aspiration cytology) of the lesion to find out pathologically what the tissue is composed of.

I hope this helps answer your question. Take care and have a nice day !
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