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Dermoid Cyst Treatment

A dermoid cyst is a cystic teratoma (germ cell tumors usually made up of multiple cell types). The cyst generally has mature skin that contains hair follicles and often clumps of hair, blood, fat, teeth, nails, cartilage and eyes. These cysts are rarely found to be cancerous due to the presence of mature tissue. To learn more about dermoid cysts and how to treat them, take a look at the questions below that have been answered by the Experts.

What is the best method for the removal of a dermoid cyst present on the right ovary?

Generally, an experienced gynecologist will have their own preferred method of surgery. One way to do this type of surgery is to have it done laparoscopically. In this method, small incisions are made in the person's abdomen and a tiny camera is inserted inside to assist the surgeon with finding and removing the cyst using small instruments. The other option is to remove the cyst through a more traditional surgery in which an open incision is made. Certain surgeons prefer performing the surgery through the open incision because they feel they have a greater chance of saving the ovary. Of course the decision of which surgery to perform usually depends upon the circumstances in each case. An experienced laparoscopic surgeon can provide the same results as a surgeon who performs the open incision method. Also, in most cases regarding dermoid cysts, the entire ovary is usually removed. This happens because once the dermoid cyst is taken out, there is typically excessive bleeding from the small portion of the ovary that remains. In order to stop the bleeding, the surgeon will generally remove the entire ovary. This is also done as a precaution to ensure that the tumor has been completely removed. 

Can a dermoid cyst cause a miscarriage?

The chance of a dermoid cyst causing a miscarriage usually depends on the size of the cyst. In most situations, the pregnant woman is monitored with the help of ultrasounds throughout the first 14-16 weeks. If there is noticeable growth in the cyst by the time the woman is 16 weeks, there is an increased risk of the woman going into preterm labor or having a miscarriage. At this time, surgery is usually recommended. However, if the cyst remains small and isn't problematic, surgery is usually scheduled for six weeks after the woman gives birth. While a dermoid cyst doesn't always require a C-section to be performed, many surgeons will often remove the cyst during a C-section if it is being scheduled anyway as a part of the delivery. In other cases, as stated above, many people may choose to wait until six weeks after the delivery to have the surgery if the cyst is stable.

Can a dermoid cyst be cancerous or cause the loss of ovaries?

Typically, the dermoid cyst is a non-cancerous growth although the appearance and size of the cyst can be alarming. It also generally grows on the outer side of an ovary and doesn’t cause too many issues unless it becomes very large. When a patient undergoes surgery, in many cases, the ovary is saved after the removal of a dermoid cyst since it can be “peeled” off. In other words, unless there is an unforeseen issue with the ovary or the removal of the cyst causes excessive bleeding and leaves too little of the ovary left, many women are able to keep the ovary.

Can a dermoid cyst go undetected through a pregnancy and a tubal ligation surgery? Does the cyst cause the woman to have heavy periods and depression?

While a dermoid cyst can generally be noticed on an ultrasound, it is not uncommon for these cysts to be overlooked. It may be possible that the woman didn't have a dermoid cyst during the pregnancy or surgery. If the cyst wasn't present but has grown and is causing bleeding, the cyst should typically be removed if it is confirmed after doing an ultrasound. Heavy periods and depression can be caused by many things but removing the cyst should improve such symptoms. In addition, it is worthwhile thinking about using Mirena IUD to control heavy menstrual cycles.

Can a dermoid cyst resolve itself and can it affect hormone production?

A Dermoid cyst does not disappear on its own and typically continues to grow. In some cases, it could even result in ovarian torsion. This occurs when the cyst becomes so large that it will actually twist into itself. When a dermoid cyst becomes very large, removing it also may become complicated as the risk of the cyst rupturing and falling into the abdominal area increases. Dermoid cysts also have tissue that can produce hormones which, in effect, can interrupt a woman's hormone production. Although dermoid cysts are a very common form of cysts, they can have a very alarming appearance since they could contain hair, teeth and even eyes. However, they can be easily removed through traditional or laparoscopic surgery. If you have any questions or concerns about dermoid cysts and their removal, ask a Medical Expert now. They can offer medical insights and suggestions for treatment based on the details of your case.
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