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Ovarian cyst

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What is an Ovarian cyst?
A cyst is an abnormal sac within the body containing fluid or semisolid matter. Diagnosis is made between benign and malignant.

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What are the symptoms?
The symptoms depend on the size of the cyst and whether or not it secretes hormones. Cysts producing oestrogens may become evident through abnormal uterine bleeding in the form of irregular bleeding or amenorrhoea.

Abdominal swelling is the first thing to be noticed with an enlarged cyst. Frequency or retention of urine may also develop.

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Diagnosis
This is made using an ultrasound scan and laparoscopy.

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Treatment
Cysts large than 5cm in diameter tend to be removed due to possible malignancy. The whole or part of the ovary is removed if there is any evidence of abnormality.

Where malignancy is suspected the ovaries, fallopian tubes and uterus are removed, followed by radiotherapy and chemotherapy afterwards.

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