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Edsel asked...

My wife was diagnosed with endometriosis.

Tags: Cancer

My wife was diagnosed with endometriosis cyst her left ovary, the size is 7 x 7 x 5cm. Her obgyne recommended for surgery. is surgery will be the best option? Thank you and please advise.

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The answer

You mention two conditions – endometriosis and an ovarian cyst. Ovarian cysts can be caused by endometriosis, in which tissue from the lining of the womb is found in other areas of the body, usually on the ovaries or inside the abdominal cavity. These cysts are often filled with blood from the endometrial tissue and are sometimes called ‘chocolate cysts’.

The usual practice is for any ovarian cyst larger than 5cm to be considered for removal. Several factors are used to determine how likely it is that an ovarian cyst contains cancerous cells, and larger size (over 5cm) is only one of them. However, complications of ovarian cysts include twisting or torsion, which can cause severe pain as the blood supply is cut off, bleeding into the cyst and rupture of the cyst. Ovarian cysts arising from endometriosis can also cause a lot of pain, and this may be relieved by surgery. At this size, I would suggest you take your specialist’s guidance if he feels that surgery would be the best option.

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