Friday, June 02, 2006

Ovarian Cysts

Today we had to operate on a young girl aged about 13 years. She came with the complaints of sparse distribution of hair in her face, indigestion for about two weeks. The initial examination showed that she had a distended abdomen. Since she had irregular periods, a provisional diagnosis of an ovarian cyst was made and then it was confirmed by Ultrasonogram.
when we opened up, it was such a huge cyst of about the size of a foot ball and nearly five litres of clear fluid drained out. If only this patient had not come to the hospital, the cyst would have twisted and the girl would have landed up in serious problem.

Ovarian cysts are enlargements of the ovary that appear to be filled with fluid. They can be a simple fluid filled bleb or contain complex internal structures. The term cyst is used to differentiate them from solid enlargements. Simple cysts have no internal structures and are less worrisome than those with complex structures or solid components. A sonogram or ultrasound test can determine if a cyst is simple or complex.

Ovarian cysts are frequently encountered. Every menstruating woman develops an ovarian cyst each cycle. Sometimes the ovary does not ovulate and the follicle cyst persists. It will continue to enlarge and can become as big as a baseball. Eventually it will break and the woman may not even be aware that this has happened. The period may be delayed because there is no progesterone phase of the cycle to respond to. The corpus luteum can also become cystic. If these cysts are detected during an examination the woman will be told that she has a cyst. Usually this will cause considerable consternation. Now everybody is upset. Could the cyst be a cancer? Will an operation have to be done? How are these questions to be answered?

Usually if it is a clear cyst, there is no need to be panic. But any pathology of ovaries and uterus have to be viewed seriously in a menopausal woman.

Delphine Victoria

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