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Jude's avatar

Medical Jellies, would could you tell me about Septated Cystic Focus?

Asked by Jude (32134points) April 13th, 2010

On the ovaries…

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11 Answers

Jude's avatar

The ultrasound is done. I just came back. I love how I had to drink four 8 ounce glasses of water and was not be able to pee.~

There area of concern is the left ovary. She told that the results will take a week, so, I’ll just have to wait and see.

JLeslie's avatar

I hope some of our medical professionals answer. Maybe send a PM to magsrags, she is very familiar with women’s medical issues. What little I know, if I remember correctly septated cysts are rarely cancerous, and can be followed by ultrasound, but I am not sure about the focus part. So, I did not really answer your question.

A week sucks, I hate the wait.

Val123's avatar

I forwarded it to Rarebear….

Rarebear's avatar

Unfortunately I can’t help. It’s not my field of expertise. Ovarian cysts are usually benign. My best advice is to ask your physician

Jude's avatar

@Rarebear I appreciate you taking the time to post. Thank-you.

Thanks, @Val123.

Val123's avatar

He’s my favorite doctor. Although I’m dying and he doesn’t know why.

Rarebear's avatar

@Val123 I’m not dodging the question! I honestly don’t know much about septated ovarian cysts. When I have a patient with it I refer to the gynecologist.

JLeslie's avatar

I sent it to drdredd and magrags.

Jude's avatar

@J, thanks!

MagsRags's avatar

Hi, been very busy in RL and so haven’t been around much, but got the message from @JLeslie .

Ovarian cysts are almost always benign. The term “cyst means a pocket of fluid think water balloon. A simple cyst less than 3cm in diameter doesn’t even need follow up. We do repeat ultrasound to follow simple cysts > 3cm or “complex” cysts. A complex cyst is one that is septated, meaning it has partitions like a pair of cysts right next to each other or if it has floating debris inside usually hemorrhagic from some blood.

Most of the time, cysts are “functional”, meaning part of the monthly process of ovulation. So we generally get a repeat ultrasound in about 6 weeks. If the cyst is big enough to cause pain, we might put the woman on COCs combination oral contraceptives until the next look, to help the cyst resolve. Sometimes I’ll also get a CA-125 for extra reassurance that it’s OK to observe until the next ultrasound.

Most of the time, the cyst has resolved by the next ultrasound. If it hasn’t, then there’s a consultation with a gynecologic surgeon to talk about laparoscopy to remove the cyst. Even then, the cysts are usually benign.

If the cyst/mass looks worrisome for malignancy, then we get a CA-125 and think about removal for biopsy sooner. A worrisome mass would have a combination of fluid and solid along with other features that don’t look benign.

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