Can a small thin-walled hemorrhagic cyst turn cancerous?

Question

Hello doctor,

My mother is 48 years old presented with symptoms of vomiting, acidity, bloating, and headache. She is in a perimenopausal phase. She visited a gynecologist and went for a pelvic ultrasound. The reports show that she is having a small thin-walled hemorrhagic cyst with internal echoes in her right ovary and few sub centimetric nabothian cysts in her cervix. I am a bit worried if this hemorrhagic cyst is something to complex and could it turn out to be something cancerous? I am very much worried.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I have seen your attached report (attachment removed to protect patient identity).

It would be better for me to have your mother's obstetrics, gynecological, medical, surgical, and drug present and past history as I could be able to correlate symptoms. If she has been treated for any problem, it is better to have a check on that and take regular treatment like diabetes, hypertension, etc. This perimenopausal age is very much prone to get disease due to aging. Mostly mood variations, night sweats, bone pains, all these symptoms near menopause. A woman should start taking extra care in advance near 40 years of age like calcium with vitamin D supplements, daily light exercise and walk, etc.

A multiloculated ovarian cyst 2 inches or more without symptoms should have regular follow-up ultrasound along with tumor marker investigations, etc., and an ovarian cyst with symptoms less than 1 to 2 inches even should be investigated. As for medical and related drug history, I do not know of a cyst with symptoms; it is better to investigate with serum calcium 125 (antigenic tumor marker) and grayscale sonography. International multicenter research showed that cysts of 1 to 2 inches that are asymptomatic with normal calcium 125 have a 0% chance of malignancy.

So, it is better to have serum calcium 125 done for her. Calcium 125 more than 65 units/ml has greater chances of malignancy. The hemorrhagic cyst should resolve by itself, maybe with minor pain. Observe for any abnormal symptoms like severe abdominal pain and abnormal bleeding and report to the tertiary care center. It is better to have a serum calcium 125 test and discuss it here or with the local gynecologist. I hope things will be better. She should take care of all other physical problems nicely, as diabetes and hypertension and many other problems together also give complicated effects.

Thank you.