Ovarian Cyst Malignant Treatment

Ovarian Cyst Malignant Treatment

Ovarian Cyst Malignant, is USG enough?

The malignancy level of any ovarian cysts cannot be diagnosed with certainty by using ultrasonography (USG). The best way to determine the malignancy is to identify characteristics that make it more likely to become benign or malignant cyst. But sometimes it can be confusing since many benign conditions can appear on USG as a worrisome condition for malignancy. These include: endometriosis, dermoid cysts, hydrosalpinges, pelvic abscess, etc. 

Ovarian Cyst Malignant: How About CA-125 Level?

CA-125 is an ovarian cancer antigen test but it is NOT specific. It can also become positive in many cases of benign pelvic and abdominal disease, especially premenopausal. Endometriosis, liver diseases, benign ovarian tumors, and other non-malignant conditions can cause an elevation of CA-125. The normal limit is less than 35 u/ml and only when more than 100 u/ml, it will be a great concern for a malignancy.  

Ovarian Cyst Malignant: Age Distribution

Statistically, benign cysts and other ovarian masses can happen in all age ranges. But ovarian malignancy is definitely higher in older women and lower in younger ages.  Benign cyst can occur with almost equal frequency before and after menopause.

Ovarian Cyst Malignant Treatment

Every woman with an enlarge ovary is possible to have an ovarian cancer and considered to be operated, except those women who are proven to have a small cyst less than 1 cm in diameter, or women with early pregnancy. For women with pregnancy, ovulatory phase, and small cyst, the therapy is conservative, but they should be monitored and reexaminated in 4 weeks. After 4 weeks, if the cyst becomes smaller, then it can be still conservatively followed until it is gone. So it is called: functional cyst.

Every ovulating woman has a cyst for every cycle. The size is usually just 2 cm when it later breaks and releases an egg. But in some cases, the follicle cyst do not break and becomes larger. It will eventually break on its own, but if detected during this time, then an ovarian cancer should be considered. Sometimes, a follicle cyst ruptures and becomes a corpus luteum cyst. This will go away by its own. Ovarian cyst that persists for long period will have to be operated to ensure a diagnosis of cancer. A gynecologist will perform an USG test to differ between simple cysts and complex cysts. A simple cyst is a fluid-filled cyst, only fluid; but a complex cyst has an internal structure or solid matters within it. A complex cyst should be operated to exclude the diagnosis of cancer.