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DR PRABIR KUMAR DAS
DR PRABIR KUMAR DAS, CONSULTANT GYNAECOLOGIST
Category: OB GYN
Satisfied Customers: 1889
Experience:  MBBS(CAL)MD(G&O)
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What percentage of complex ovarian cysts resolve themselves

Resolved Question:

What percentage of complex ovarian cysts resolve themselves
Submitted: 5 years ago.
Category: OB GYN
Expert:  DR PRABIR KUMAR DAS replied 5 years ago.
Hi
Complex ovarian cyst is a type of cyst that has both solid and liquid components. Found in the ovary and encased in a thin wall, a complex cyst can appear to be exactly like a basic cyst.
The majority of ovarian cysts resolve spontaneously in all patient groups.
Pre-menopausal: complex cyst
Fewer such cysts resolve spontaneously in comparison to their simple counterparts. An 8.3% spontaneous resolution rate is witnessed among pre-menopausal women after expectant management.
Post-menopausal: simple cyst
In one study, 69.4% of uni-locular cysts resolved and 6.8% persisted as a uni-locular cyst. Thus, the risk of malignancy of such tumours measuring <10 cm in diameter is extremely low (<0.1%). Another study illustrated similar findings, with approximately 45% resolving on their own.
Post-menopausal: complex cyst
The frequency of malignancy within multi-loculated solid tumors is between 36% and 39%. Physicians should not manage such ovarian cysts expectantly; thus, rates of spontaneous resolution are unknown.
Pregnancy
The majority of simple and complex masses will resolve spontaneously and present no risk to the pregnancy. One study of ovarian cysts in pregnancy illustrated a 70% rate of spontaneous resolution among complex cysts and a nearly 100% resolution of simple cysts.
Thank you
If you are satisfied with your answer, please click accept. We are not paid for our time or advice from your deposit until you do so. If you have more questions or any doubt regarding this topic, please ask. I am here for you to answer all of your questions.Bonuses and feedback are appreciated. Dr Prabir Kumar Das.
Customer: replied 5 years ago.

Am I correct in understanding that complex cysts that are less than 10cm have a very low risk of malignancy, and the majority are benign?

Expert:  DR PRABIR KUMAR DAS replied 5 years ago.
you are right.
If you are satisfied with your answer, please click accept. We are not paid for our time or advice from your deposit until you do so. If you have more questions or any doubt regarding this topic, please ask. I am here for you to answer all of your questions.Bonuses and feedback are appreciated. Dr Prabir Kumar Das.
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