When are cysts in the ovaries is called benign or harmful?
When is called benign cysts in the ovaries and ovarian cysts when also called malignant which means danger?
According to dr. Pribakti, Sp.OG (K) of the existing hospital in Banjarmasin, ovarian cysts are common in women of reproductive age and 95% benign. Most of the cysts persist or even disappear without treatment or surgery. Then dr. Hardi Susanto, obstetricians and obstetrics of the hospital in Jakarta, said that 20-30% of cysts potential to become malignant. Some experts suspect ovarian cysts are responsible for the occurrence of ovarian cancer in women over 40 years. Mechanisms of cancer is still unclear, so it is recommended in women over the age of 40 years for screening or early detection of ovarian cancer possibility. Ovarian cancer is the cause of death of all gynecologic cancers. One sign that become malignant ovarian cyst is a cyst enlargement fast in a short time. The death rate from ovarian cancer disease is quite high because the disease is initially asymptomatic and without complaint. In later stages of new patients have symptoms. This disease is also referred to as the silent killer. Unfortunately, until now there has been no simple way of early detection to check for ovarian cancer malignancy. In contrast to cervical cancer (cervix) that can be detected early by Pap smear.
Examination of ovarian cysts is done based on the symptoms and signs. Physical examination and some types of laboratory tests can help in the diagnosis of several types of cysts. To confirm the type of ovarian cyst, the doctor will perform a physical examination and some types of laboratory tests, and see the ovaries on ultrasound, anatomic pathology examination (PA), MRI, CT scan, laparoscopy or through surgery. Once entered in the malignant stage, it would require examination of tumor markers.
There are several ways to determine whether ovarian cysts are benign or malignant, namely: *
Based on physical examination Tame when:
Easy movement is actuated (mobile)
Consistency / Contents
Cystic There is only one side or two sides of the body
Smooth surface and not berdungkul (smooth)
Malignant if:
Difficult movement driven (fixed / permanent)
Consistency / Solid Content (solid)
On one side of the body there are two sides of the body
Berdungkul surface-dungkul *
Based on the results of radiography Tame when:
Simple cyst with size less than 10 cm
Bulkhead thickness of less than 3 mm 1 side
Not form a mass in the abdomen
Malignant if:
Solid tumors (solid) or a mixture
Many bulkhead and thick bulkhead (wall) more than 3 mm 2 sides
Forming a mass in the abdomen (ascites)
* Based on anatomic pathology examination (PA) cells
tame:
No attachment so easily moved (mobile)
Capsules (wrapper) intact cyst
Malignant if:
There are so hard driven attachment (fixed)
Capsules (wrapping) cysts incomplete / broken / rupture
What is the treatment? Treatment depends on the type and size of the cyst and the age of the patient. For follicular cysts, these cysts do not need to be treated because it will heal by itself within 1-3 months. But still have consulted the doctor. For the class of granulosa lutein lutein cysts, which often occurs in pregnant women, will recover gradually during the third semester of pregnancy, so it is rarely performed surgery. As for the theca lutein group, it will disappear spontaneously if the causes have been eliminated.
For Polycystic Ovarian cysts are settled / persistent, surgery should be performed to remove the cyst so as not to cause disruption and pain. For functional cysts, can be used contraceptive pill used to shrink the size of the cyst.
The use of contraceptive pills also reduce cyst growth opportunities. For women who underwent ovarian cyst surgery, you should not have sexual intercourse during the healing. However, if the cyst enlarges rapidly, do not disappear after some therapy, pain, and suffered by women who have entered menopause, the doctor will perform the surgery to remove the entire uterus can (histerectomy).
By looking at the above circumstances, as a woman should be able to prevent himself does not have a cyst in Peranakan, but unfortunately there are no specific prevention efforts that can be done to avoid this disease. Efforts to do is find out early this disease, so patients do not enter the stadium is too dangerous and the treatment given still give good results with minimal complications.
The effort is to conduct periodic inspections that include:
Gynecologic clinical examination to detect the presence of ovarian cysts or enlargement of the other.
Ultrasound examination, if necessary by means of Doppler to detect blood flow.
Examination of tumor markers (tumor marker)
A CT-Scan / MRI if necessary
Examination of the above is highly recommended, especially for women who are at risk of ovarian cancer will occur, namely:
Women who first menstruation and menopause earlier slower
Women who never or difficult pregnancy
Women with a family history of ovarian cancer
Women with breast cancer and colon
Thus, for women, if there are disturbances related to your reproductive organs, such as irregular menstrual cycles and others, immediately perisakan yourself to the doctor and take care of your body, especially your uterus so that you do not experience the specter that almost all women are very scare him by doing routine gynecological examination with your doctor.