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Should A 9.8 Cm Right Adnexal Cystic Lesion Be Removed?

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Posted on Wed, 1 Jan 2014
Twitter Wed, 1 Jan 2014 Answered on
Twitter Sat, 1 Feb 2014 Last reviewed on
Question : I have a 9.8 cm right adnexal cystic lesion does it have to be removed?
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Answered by Dr. Aarti Abraham (15 minutes later)
Brief Answer: YES. REMOVAL IS WARRANTED - LAP SHOULD BE TRIED. Detailed Answer: Hello Thanks for writing to us with your health concern. Basically an adnexal cyst that is 5 cm or less can be observed, particularly if it is simple cystic on sonogram ( no internal echoes, solid septations, projections, papillae, fluid mixed echoes ). A complex cyst even less than 5 cm warrants removal, if persistent, and a simple cyst, larger than 5 cm warrants removal . To answer your question in one word - Yes, a 10 cm adnexal lesion should be removed. There are potential complications such as - internal bleeding, necrosis, infection, torsion, adhesion to surrounding structures etc. The lesion should be removed and sent for biopsy. Also, pre operatively, a CT scan and CA 125 levels should be done to know the risk of malignancy. Could you please upload the report of the ultrasound / CT scan / MRI which was done to diagnose this cystic lesion ? That would help me to be even more specific. Laparoscopic premoval should be aimed for. All the best. Please feel free to discuss further.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Aarti Abraham (4 days later)
Thank you for answering my question.....but I have another lol.....because of the size do you feel that a full hysterectomy will need to be done and also I'am 46 yrs old I've had two children ,I don't get a period ,it stopped completely 6yrs ago never has come back.....nothing no spotting .....it just stopped I have not seen anything in 6yrs which is odd? I was 40 when I last had a period, if I do need a full hysterectomy I'm ok with that just so you know that side of this wouldn't affect me emotionally ......thanks Kelly
doctor
Answered by Dr. Aarti Abraham (8 hours later)
Brief Answer: DETAILED BELOW Detailed Answer: Hi, Yes if you are already menopausal, a full hysterectomy is better for you. It is not odd, it is just an early menopause.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Aarti Abraham

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Should A 9.8 Cm Right Adnexal Cystic Lesion Be Removed?

Brief Answer: YES. REMOVAL IS WARRANTED - LAP SHOULD BE TRIED. Detailed Answer: Hello Thanks for writing to us with your health concern. Basically an adnexal cyst that is 5 cm or less can be observed, particularly if it is simple cystic on sonogram ( no internal echoes, solid septations, projections, papillae, fluid mixed echoes ). A complex cyst even less than 5 cm warrants removal, if persistent, and a simple cyst, larger than 5 cm warrants removal . To answer your question in one word - Yes, a 10 cm adnexal lesion should be removed. There are potential complications such as - internal bleeding, necrosis, infection, torsion, adhesion to surrounding structures etc. The lesion should be removed and sent for biopsy. Also, pre operatively, a CT scan and CA 125 levels should be done to know the risk of malignancy. Could you please upload the report of the ultrasound / CT scan / MRI which was done to diagnose this cystic lesion ? That would help me to be even more specific. Laparoscopic premoval should be aimed for. All the best. Please feel free to discuss further.