回复:请教:关于卵巢囊肿的问题

来源: MDGG 2007-06-22 19:04:26 [] [博客] [旧帖] [给我悄悄话] 本文已被阅读: 0 次 (1354 bytes)
A lady has about 400 eggs in her life. When an egg mature, there is always a cystic structure associated with it. Most of the time the cystic structure is less than 2 cm in diameter and is called follicle, and if it is greater than 2 cm it is called a cyst. They will go away on their own. They are called simple cyst. Normal. No big deal. Some time your PMD or Ob/Gyn can order ultrasound to follow them.

There are other cystic ovarian lesions as well. The cystic lesions people concerned about are cystic neoplasm/tumors. They have thick walls or soft tissue nodules on pelvic ultrasound. If they are malignant, there is associated increased blood marker levels such as CEA level.

SO you need to ask your MD whether you have a simple cyst or a suspicious cystic neoplasm -- this is the key. If the ultrasound reports thickened cyst wall or soft tissue nodule, and/or you have elevated CEA level, you MD normally would order a CT of abdomen and pelvis. The CT is not for evaluate the ovarian cyst, rather, it is used to see if there is enlarged lymphanodes, other mass, etc.

Therefore, I would do the CT. For now, there is nothing you can do -- except to avoid aggressive activities if the cyst is pretty big to avoid possible torsion of the cystic lesion, and if that happens then it would be a medical emergency.

Good luck!
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