Patient's question:
I had a cesarean section last October. At that time, I had a 5cm multilocular mucinous adenoma in my left ovary, so during the cesarean section, my left ovary was also removed. However, in November of this year, a liquid appeared in my right ovary, and I'm very afraid it might be another mucinous adenoma. I tested alpha-fetoprotein (AFP) (2.90), carcinoembryonic antigen (CEA) (0.98), and carbohydrate antigen CA125 (13.07), all of which were within the reference range. Is there any way to determine the characteristics of the ovarian cyst? If it is, will my right ovary also need to be removed?Doctor's answer:
To confirm an ovarian cyst, it is first necessary to determine whether it is benign or malignant. If the cyst is smaller than 6 centimeters, conservative treatment can be used. If the cyst is larger, surgery is required in a timely manner. Generally, if the cyst diameter is less than 5 centimeters and there is no evidence of a tumor, it is often a functional cyst, which can be closely followed up, meaning a check-up every 2-3 months, and then the check-up interval can be adjusted based on the situation. If the cyst diameter is greater than 5 centimeters, it is often an ovarian tumor, and surgical treatment is generally required. If it is accompanied by progressively worsening dysmenorrhea and dyspareunia, as well as painful nodules in the pelvis, endometriosis (also known as chocolate cysts) should be considered. Different treatments can be adopted based on specific circumstances.