bkdaniels
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Jun 22, 2005, 10:17 AM
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Hey Guest, how are you doing?
Careful laparoscopic examination of the pelvis and abdomen that reveals ascites, rupture of tumor capsule, tumor on the surface of the ovary, dense adhesions or any other evidence of malignancy is more than enough reason to suspect that the cyst is malignant and thus, not to proceed with puncturing the cyst, even if it appeared anechoic preoperatively. Although ovarian cancer doesn't usually cause pelvic pain in its early stages, it's a possibility your doctor should consider.
In Endometriosis, a specialized type of tissue that normally lines the inside of your uterus (the endometrium) becomes implanted outside your uterus, most commonly on your fallopian tubes, ovaries or the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond your pelvic region.
During your menstrual cycle, hormones signal the lining of your uterus to thicken to prepare for possible pregnancy. If a pregnancy doesn't occur, your hormone levels decrease, causing the thickened lining of your uterus to shed.
However, because there's nowhere for the blood from this mislocated tissue to exit your body, it becomes trapped, and surrounding tissue can become irritated.
Cysts, in turn, may form scar tissue and adhesions — abnormal tissue that binds organs together. This process can cause pain in the area of this misplaced tissue, usually the pelvis, especially during your period.
Never-the-less, surgical removal of the tumor is the treatment in almost all cases. Unfortunately, ovarian tumors are frequently asymptomatic, subjective complaints occurring after complications arise or in the case of malignant tumors after the spread of the disease.
Specific symptoms will depend on the size, location, and type of tumor as well as the presence of such complications as twisting, hemorrhage, infection, or rupture. It is difficult to assess whether "rupture" of a cyst was in isolation, or in concert with excrescences and, in particular, whether there was adherence to other structures.
Functional ovarian cysts typically disappear within 60 days without any treatment. Oral contraceptive pills may be prescribed to help establish normal cycles and decrease the development of functional ovarian cysts.
If a woman is not seeking pregnancy and develops functional cysts frequently, they can be prevented by taking oral contraceptives, Depo-Provera, or Norplant, all of which prevent follicle formation. Functional ovarian cysts usually disappear without any residual problems.
REFERENCES
By Mayo Clinic staff :Endometriosis
Mayo Foundation for Medical Education and Research (MFMER)
Abdulrahim A. Rouzi, MB, ChB, FRCSC; Peter F. McComb, MB, BS, FRCSC:
American Association of Gynecologic Laparoscopists
Laparoscopic Ovarian Cystectomy: Selection Of Patients And Consequences Of Rupture Of Ovarian Malignancy
Divina Gracia Rualo-Pasigan, M.D.: The Female Reproductive System
Ovarian Tumor, 412p, 227 Funk & Wagnalls Family Medical Guide
Peter Chen, M.D.,: Functional ovarian cysts
Department of Obstetrics & Gynecology, University of Pennsylvania Medical Center
Best wishes,
The Prison Hospital
Prisoner: Look here, doctor! You've already removed my spleen, tonsils, adenoids, and one of my kidneys. I only came to see if you could get me out of this place!
Doctor: I am, bit by bit.
-- Aha! Jokes
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