Complex Ovary Cyst, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Complex Ovary Cyst, Diagnosis and Treatment and Related Diseases

My granddaughter was diagnosed with a complex ovary cyst after 3 months of abdominal bloating and discomfort.
She had been taking bubble tea and was worried that the bubble tea with undigested bubble tea pearls (which are ordinarily made from tapioca starch) was giving her abdominal discomfort, bloating and constipation.
The abdominal pain was occurring every morning and getting worse.
She was referred to a colon specialist who did an ultrasound on her and found a large ovary cyst.
She was then referred to a gynecologist who managed to remove her large ovary cyst through a keyhole surgery without having to remove her normal ovary tissue.
The ovary cyst was sent for histology and showed no malignancy.
However there was evidence of a benign cystic teratoma which is normally congenital or present at birth which has slowly grown in size.

An ovary cyst is a sac filled with fluid or semi-fluid that forms on or inside an ovary.
Ovary cysts or tumors can be divided into three main groups:
1. Functional (24%)
2. Benign (70%)
3. Malignant (6%)
Ovary cysts can either be simple or complex.
Ovary cysts are small sacs that form in or on an ovary.
Ovary cysts can be simple or complex, depending on the substances that are inside them.
Simple cysts are filled with fluid.
Monthly ovulation will often involve the formation of cysts, and they are not normally a cause for concern.
When they produce no problems, they are called functional cysts.
Complex cysts are less frequent than simple cysts.
Either blood or a solid substance is present in complex cysts.
Unlike simple cysts, complex cysts are not linked to the typical menstrual cycle.
Most cysts are not harmful.
According to the Office of Women's Health (OWH), cancerous cysts are rare and more frequent in older women.
The different types of complex ovary cyst are:
1. Endometriomas.
This type happens when the cells of the uterine lining develop in or around the ovaries or on the uterus.
Endometriomas contain a thick brown fluid.
2. Dermoids.
Skin, hair, fat, or teeth cells comprise dermoid cysts.
3. Cystadenomas.
These cysts are made of ovary tissue and contain mucus or fluid.
In many cases, medical experts do not know what causes complex ovary cysts.
If complex ovary cysts do cause symptoms, people may notice these:
1. Pressure or bloating in the abdomen
2. General pain in the lower abdomen
3. Vomiting or nausea if the cyst causes the ovaries to bend or twist
4. An urgent or frequent need to urinate if the cyst pushes on the bladder
5. A severe pain that comes on rapidly if the cyst bursts
Diagnosis:

The doctor may find a cyst during a pelvic examination, or when the patient has an ultrasound test for another disorder.
Ultrasound may be used to diagnose a cyst.
Treatment
Functional ovary cysts often do not require treatment.
They often resolve on their own within 8 to 12 weeks.
1. Complex cysts are more likely to need treatment than simple cysts.
2. According to the OWH, between 5–10 percent of women with ovary cysts will have surgery. Of that number, between 13–21 percent are cancerous.
3. A doctor may recommend surgery when a cyst is becoming too large, interfering with the ovary or other organs, or is painful.
4. A surgeon will often use laparoscopy to remove an ovary cyst.
Here, the medical team places the patient under general anesthesia, and the surgeon does keyhole surgery, using small entry incisions, to remove the cyst.
If laparoscopy is not available or if cancer is suspected, an open incisional method (laparotomy) is done to remove the complex ovary cyst.
Benign ovary cyst are removed by laparoscopy.
TABLE OF CONTENT
Introduction
Chapter 1 Complex Ovary Cyst
Chapter 2 Causes

• Language: English
• Publisher: Kenneth Kee
• Release date: Aug 26, 2019
• ISBN: 9780463021897

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Complex Ovary Cyst,

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2019 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Complex Ovary Cyst, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Complex Ovary Cyst)

This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Complex Ovary cyst

My granddaughter was diagnosed with a complex ovary cyst after 3 months of abdominal bloating and discomfort.

She had been taking bubble tea and was worried that the bubble tea with undigested bubble tea pearls (which are ordinarily made from tapioca starch) was giving her abdominal discomfort, bloating and constipation.

The abdominal pain was occurring every morning and getting worse.

She was referred to a colon specialist who did an ultrasound on her and found a large ovary cyst.

She was then referred to a gynecologist who managed to remove her large complex ovary cyst through a keyhole surgery without having to remove her normal ovary tissue.

The complex ovary cyst was sent for histology and showed no malignancy.

However there was evidence of a benign cystic teratoma which is normally congenital or present at birth which has slowly grown in size.

An ovary cyst is a sac filled with fluid or semi-fluid that forms on or inside an ovary.

Ovary cysts or tumors can be divided into three main groups:

1. Functional (24%)

2. Benign (70%)

3. Malignant (6%)

Functional Ovary cysts

Functional cysts are not the same as cysts produced by cancer or other diseases.

They develop as a result of enlargement of the follicular cyst that comprised the ovum during the menstrual cycle.

Benign epithelial neoplastic cysts (60% of benign ovary cysts)

1. Serous cystadenoma:

a. They form papillary growths which may be so prolific that the cyst appears solid.

b. They are most frequent in women with ages between 40-50 years.

c. About 15-25% is bilateral and around 20-25% may be malignant.

2. Mucinous cystadenoma:

a. These are the most frequent large ovary cysts which may become extremely large.

b. They are filled with mucinous material and rupture may produce pseudomyxoma peritonei.

c. They may be multi-locular.

d. They are most frequent in the 20-40 age group.

e. About 5-10% is bilateral and about 5% will be malignant.

Benign neoplastic cystic tumors of germ cell origin

1. Benign cystic teratoma; rarely malignant.

a. They develop from primitive germ cells.

b. A benign mature teratoma (dermoid cyst) may comprise well-differentiated tissue e.g., hair, and teeth.

c. 20% are bilateral.

d. They are most frequent in young women.

e. Poorly differentiated, malignant teratomas are rare.

Benign neoplastic solid tumors

1. Fibroma (less than 1% is malignant); small, solid benign fibrous tissue tumors.

They are linked with Meigs' syndrome and ascites.

2. Thecoma (less than 1% is malignant).

3. Adenofibroma.

4. Brenner's