Patient's Query
Hello doctor,
I am 51 years old, and had my last period around 15 months ago. During the annual gynecological test , my gynecologist found a 17 x 21 mm simple (as he categorized it) ovarian cyst in my right ovary, which did not look suspicious. He ordered CA125 (cancer antigen 125) and E2 (estradiol) blood tests, which I completed.
My CA125 is 3.2 U/ml and my E2 is 326.4 pg/ml. I have no symptoms apart from a pink discharge a month ago and nothing else. I am not obese, I have a body mass index (BMI) of 25, and I had ovarian cysts during my reproductive years that resolved after a cycle.
I do not smoke (quit 16 years ago), do not drink, and do not take any medication of any kind apart from vitamin D3 during the past two months, since my vitamin D levels were very low. I have no history of cancer in my mother, grandmother, aunt, sister, etc. What would be your opinion on this situation?
Kindly advise.
Hello,
Welcome to icliniq.com.
I understand your concern.
I have read your query and understand your concerns. An abnormality in your ovary at this stage is a cause for concern, so you are right to seek clarification.
However, when a simple cyst like this is seen, it is normal to carry out investigations to rule out the possibility of the cyst being malignant (cancerous). From the features you listed above simple unilateral ovarian cyst, low CA125 (cancer antigen 125), and normal estrogen (estradiol) for your age, it is most likely a benign (non-cancerous) cyst.
So, the recommended next step is to repeat a transvaginal ultrasound scan in three months to monitor both the cyst's growth and its characteristics. If the size starts reducing, you would continue close follow-up with transvaginal ultrasound scans until the cyst completely regresses. However, if after three months the size remains the same or increases, then there would be a need to remove the cyst surgically and send a sample for histology to determine the actual cause.
For now, there is no immediate cause for concern about the cyst. The plan is to do a transvaginal ultrasound scan in three months to check the size and characteristics of the cyst.
I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.
Thank you.
Patient's Query
Hello doctor,
Thank you very much! That is what my gynecologist also suggested, with the only difference being that he advised a wait-and-see approach even if it remains the same in size. In any case, I have already planned the follow-up transvaginal ultrasound scan as you also suggested, in two months. I really appreciate your help and advice here! I will definitely consider having it removed, as you suggested, if it remains the same in size or gets bigger.
Thank you.
Hello.
Welcome back to our portal,
You are welcome.
Thank you.
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Answered byDr. Obinna Ugwuoke
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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