Dermoid Ovarian Cyst
Posted , 35 users are following.
Hello.
I have just been diagnosed with a 10cm dermoid cyst. I had never heard of this before and after doing a little research - am scared stiff! I am awaiting a consultation appointment to discuss surgery but have been advised it is likelyl to be removed by open surgery due to the size - and may involve removing my right ovary too. I am 51 so not concerned with fertility - just recovery! I have also been advised surgery is likely to be in around 3 months but this does seem a long time to me. After suffering years of pain in my right side/groin and just returning home from 6 days in hospital with what appeared to be torsion - I am quite scared. What is an average recovery time for this type of op? In these difficult times (I work for my local authority) I worry about having a long time from work.
I've never had an operation and I am really scared silly. Any advice would be most welcome please.
Thank you
Dawn
1 like, 99 replies
juliz 1963Dawn
Posted
THANK YOU both , i am going to ring early in the morning and say if they dont hurry with a date i will go down another route , i have already informed them she is in a lot of pain and her left leg keeps going numb , she is young and wont make a fuss , i guess that will come when she has children of her own . We do not know if it is still growing as yet she has not been informed . My other daughter is on her 3rd try on IVF and i would hate for her to also have go down this route . Will let you know how i get on tomorrow and thanks again for the support it has settled me a little
juliz 1963Dawn
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sandy67 juliz
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sorry, kinda gatecrashed this post as I have been reading everyone's stories! Mine is being left as it is small in comparison but still causing me a great deal of pain and i am not convinced there isnt more going on. Never even saw a registrar, just junior gynae doctor!
pam1984 juliz
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juliz 1963Dawn
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julie
Angienofrills juliz
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I was unable to get an appointment in the NHS before starting my job
Angienofrills
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I will be interested to see how she finds the recovery, as I am afraid after reading some of these posts that's 4 weeks won't be long enough to get back to my normal activities at work (housekeeping and serving guests on a boat!)
Is she having open surgery?
pam1984 Angienofrills
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juliz 1963Dawn
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juliz 1963Dawn
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juliz 1963Dawn
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CassiW 1963Dawn
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deborah93992 1963Dawn
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emily61046 1963Dawn
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I don't know which consultant at which hospital you had, but you have a right to choose your hospital http://www.nhs.uk/choiceintheNHS/Yourchoices/hospitalchoice/Pages/Choosingahospital.aspx
So don't stay with a hospital and consultant that your not happy with. Obviously I don't not have the medical knowledge, but I would say they are taking the easy option and losing your femine organs is a big deal, early menopause or not. I am pretty certain the removal of your ovaries will definitely bring on the menopause, and unless the cancer marker test highly suggested cancer, I can't see why they would want to remove the healthy ovary and both fallopian tubes? Did they give you the results? Anyway, If you are not happy with the hospital and advice, go else where. That's what I did.
molly89755 1963Dawn
Posted
I got pregnant for the first time in January and unfortunately had a miscarriage at 10.5 weeks in March this year. While I was being scanned, the nurse said she saw a 'grapefruit sized mass' on my right ovary. This only added to my stress/anguish as of course I was devastated to be losing my baby. (Of course I had never had any ultra sound scans until this time, and had no symptoms/pain).
I was sent for an MRI and tests, and my CA125 level was slightly raised. The consultant did not like the look of my 'mass', which was 14cm long and 12cm wide, so fast-tracked me in case it was cancerous. This was a terribly stressful and worrying time, not helped by the fact that my hormones were all over the place and I was physically and emotionally still revovering from a traumatic miscarriage.
In the end, I had surgery to remove the 'mass' and the whole of the ovary and connected fallopian tube, which apparently it was not possible to save sadly.
I was petrified before the surgery - scared I would die etc - I have never had an operation before and was in tears with fear beforehand. My husband said: 'it's fine, it's just like going through a rabbit hole' - and he was right: I was anxious before hand, I remember being given an injection and the next thing, I was looking at a clock on the wall of the recovery room five hours later. 'Going under' is a horrible thought but the anticipation is much worse than the event I found.
When a surgeon removes a big cyst (like mine), they put a camera/light through your belly button, then use two other keyholes (one each side of your lower tummy) for the tools (tongs?!) and cut a bigger horizontal hole in your bikini line to remove the cyst through. If the cyst is tricky, or massive, they might need to make a vertical incision from your tummy button downwards, but this is rare.
To get a big cyst out, they place a plastic bag inside you, bag the cyst, then put the neck of the bag through the cut and suck out the cyst contents (while it is bagged inside you) to prevent it from bursting and leaking inside you. It's very clever. If any of the cyst does leak, you need an 'abdominal lavage' - basically - a good rinse out! My cyst did burst during removal, so I had this wash out process (!) and I am fine. I think it is quite common as some cysts are actually fragile ('like water balloons' - according to my consultant!) and can burst during surgery, but they know what they are doing so this is not something to worry about really.
After the surgery, I felt fine for a few hours as the general anaesthetic was wearing off (and they also kindly gave me two local anaesthetics in my stomach!) but over the next 24 hours in hospital the pain worsened and I was given loads of painkillers like codeine, paracetemol, ibuprofen etc. I did not get morphine - maybe I should have complained a bit more...?! I could not sleep well in hospital as another woman on the ward had a noisy Deep Vein Thrombosis prevention machine on her legs and people kept coming and going. The next day, they removed my catheter and drip etc and sent me home. I could hardly walk and was in agony with throbbing headaches (due to general anaesthetic, maybe) and it was very sore to bend or move around for a few days. I basically sat in an armchair eating chicken soup occasionally and sleeping lots, feeling sorry for myself. I drank LOADS of water to flush out the drugs.
Top tip: get some drinking straws so you can drink easily without having to bend/sit up post-surgery - and put plenty of pillows in your bed so you can sleep half sitting up too. This helped me enormously for the first few days. I tried to cut down on the pain killers asap and began walking around gently when I could to get rid of all the poisons in my system and promote healing.
The pain lessened day by day and within three weeks I was walking around pretty normally. But still felt washed out to be honest. The body is an incredible healing machine - I was amazed at how my scabs became scars and my strength gradually returned bit by bit.
My 'mass' turned out to be an enormous, benign - thankfully - dermoid cyst. I Google-Image searched it. Wish I hadn't! They are so disgusting. Such a weird thought that it has been growing inside me for my whole life. But I was just relieved it was not cancerous.
I gather that: Dermoid - means anything from the 'skin' - so these cysts can contain hair, teeth, bits of skin - and are truly horrible to look at! By the way, the word 'teratoma' originates from the Greek word 'teraton' meaning monster!! They are contained in sacs of skin inside you - and if they burst, it can be serious, like if your appendix bursts in your abdominal cavity.
Recovery process was OK I guess. I now have a 10cm-long scar where they removed the cyst, then three tiny keyholes (one is invisible in my tummy button). I was tired and a bit depressed for a few months afterwards, but I don't know how much of this was due to the surgery and how much was due to the miscarriage etc...I am normally a very optimistic, cheerful person though, so it was noticable to me that I was down more than up. I also had some memory problems after surgery - when I was in mid-conversation I would lose my thread, and sometimes forget names of people - and things - a bit like an older lady would! (I am 32.) I Googled this (!) and found lots of stuff about estrogen being essential for brain function in women (hence post-menopausal women often have memory problems) - but hoped that my other remaining ovary would up its production and sort my poor frazzled brain out.
Now, it is four months since my surgery and I think my memory is getting back to normal. I am starting to feel a bit more positive too. Not sure how much of this is down to my poor hard-working remaining left ovary pumping out more estrogen to compensate, or just time being a healer, but either way, it's time to now get on with making a baby, which was how this sorry saga started in the first place.
In a way, although what happened to me was horrific, if I hadn't had a miscarriage, this huge cyst would not have been found until the 12-week scan, and the consultant said that I would have had to have surgery anyway - pregnant or not. So I am lucky in a way that it has all been sorted out now and I know I am healthy before trying again for a baby.
I just pray that my remaining ovary works OK - and I don't have any complications such as ectopic pregnancy etc - because with only one ovary, I don't have a back-up anymore and my husband and I are desperately longing for a child more than ever.
I was not up for intercourse (or anything really) for two months after surgery, but now I am back to normal in that way and so we are trying to conceive - again.
Good luck to anybody out there who has a dermoid cyst. They are better out than in, a complete inconvenience - but mostly benign - so look after yourself and get through this annoying and very stressful time so you can get on with your life - cyst-free.
Molly
With hindsight, I always slept with my right leg out at an angle (!) - which I now think was to make space for this horrible dermoid cyst.