Endometrioma Cyst

[tammylee72]

Hello,

I'm 37 years old with 3 children and a history of severe endometriosis.  I had a partial hysterctomy done 7 years ago but my overies were not taken out.  I recently went for an ultrasound as I have been experiencing pain in my right side again.  Other systems include back and hip aches/pains, bloating and always tired.

My ultrasound showed a thick walled cyst with internal echoes measuring 1.8 x 2.2 x 2.0 cm with no colour flow.  The differential diagnosis for this would include a collapsing cyst as well as an endometrioma.  My left overy was not seen and there is some free fluid in the pelvis.

Is this something I should be concerned about?  From what I am reading endometrioma cysts do not go away on their own and should be investigated further.  Is there a chance this could be ovarian cancer?  I have so many questions and don't know what to do or think.

I see my gyn in 2 weeks to have another ultrasound and to discuss the results further but I'm concerned this is going to mean more surgery.  I have had so many surgeries in the past and I know I have a lot of scare tissue in the pelvic/abdomen area.  If I do have to go for surgery I am almost positive she will not be able to it by laparoscopy and she will have to open me right up.

What should I expect when I see my gyn?  I'm very nervous that it's going to be ovarian cancer and have myself stomach sick with worry.

I look forward to your feedback.

Thank you.

[tammylee72]

Thank you for your response.

Another question....what is a thick walled cyst and is it something I should be worried/concerned about?

[Annekathryn Goodman, M.D.]

Hi There
endometriomas do not go away. If you are having symptoms, you should have surgery to remove it.There are occasions that endometriosis is associated with ovarian cancer. If you have a family history of ovarian cancer or breast cancer, that may be an additional reason to consider removing your ovaries and fallopian tubes after completing your family.
best wishes