Hi doctor,
I am a 34 year old female, and I had my right ovary and tube removed during C-section, due to a 4.5 cm dermoid cyst. The cyst was found during an ultrasound scan, five years back. The surgeon said a cystectomy was no possible because the cyst had completely replaced the ovary. Could you please confirm if the attached histopathology report says anything about the ovarian tissue? I had no symptoms, no pain, no torsion, and the right ovary was functioning in spite of the cyst. I became pregnant twice due to ovulation from the right ovary. What is the medical condition due to which the entire ovary is replaced by a dermoid cyst? Thank you.
Hi,
Welcome to icliniq.com.
I have gone through your attached reports (attachment removed to protect patient identity).
Take care. Hope your concern is solved.
For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist
Hello doctor,
Thank you for the quick reply. My concern is regarding the indication for the procedure. I was told by another gynecologist that dermoid cyst replacing an ovary completely is rare except if the cyst is very large. I am not sure what the size of the cyst was at the time of surgery because the pathology report says size 5.5 cm. Is it the size of the ovary or cyst? Was there no ovary? Could you please explain what it means by 'ovary completely replaced by cyst'? Does it mean there was no ovarian tissue? I was wondering if a pathologist could confirm how enlarged the cyst was and if the report actually says if the cyst had totally replaced the ovary. Before surgery, I was told about ovarian cystectomy only and ovary removal or omentectomy in the case of malignancy. Could you let me know if there was any indication of malignancy to do omentectomy or if it is the standard procedure done during salpingo-oophorectomy? Thank you very much.
Hi,
Welcome back to icliniq.com.
I will try to explain your case in detail.
Take care. Hope your concern is solved.
For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist
Hi doctor,
Thank you for your medical opinion regarding this. Could you please let me know if the histopathology report says there is no ovarian tissue left? At the ultrasound scan at 34 weeks pregnancy, I was told cyst enlargement is consistent with pregnancy. Could pregnancy be a reason why separate ovarian tissue was not seen? Regarding omentum, the report says no lesions or lymph nodes are identified. I would really appreciate your medical opinion regarding why this would have been medically necessary. Yes, I am glad it was a benign tumor, but I am just trying to figure out what warranted the removal of ovary, tube, and omentum, during ovarian cystectomy. No tests prior to surgery indicated malignancy and no unexpected malignancy was found during surgery. Thank you very much for your time in addressing my concern.
Hi,
Welcome back to icliniq.com.
Hope your concern is solved. Take care.
For more information consult a pathologist online --> https://www.icliniq.com/ask-a-doctor-online/pathologist
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