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Cul-de-sac Cysts
Aug. 18th, 2005 02:46 pmFinal lab results:
"Received are two containers. The first contains 2 ml yellowish cloudy fluid. The second contains a light tan fragment of tissue.
"Diagnosis:
First container:
Fluid, abdominal cavity, cytologic examination with cytology smears and cell button:
A. Occasional reactive mesothelial cells admixed with neutrophils and lymphocytes.
B. No evidence of epithelium or malignant neoplasm identified.
"Second container:
Cul-de-sac cyst, excision:
Benign mesothelial and squamous epithelial lined, fibrous walled cyst; most consistent with multilocular peritoneal inclusion cyst (see comment).
"Comment:
The fluid submitted as specimen #1 is essentially unremarkable. Specimen #2, consisting of the cul-de-sac cyst, demonstrates a fibrous-walled cyst with the thickness of the wall measuring less than .5 mm. ...blah blah blah... No significant atypia or evidence of malignancy is identified.
"Multilocular peritoneal inclusion cysts may occassionally form large, bulky masses. These lesions have also been referred to as benign cystic mesotheliomas, inflammatory cysts of the peritoneum, or post operative peritoneal cysts. They are commonly associated with lower abdominal or pelvic pain. A role for inflammation in the pathogenesis of these cysts has been suggested. Follow up examination has not disclosed malignant behavior in cases of multilocular peritoneal inclusion cysts, but the lesions have recurred in as many as one-half of the cases.
"The possibility that this cul-de-sac cysts represents multiple separate benign peritoneal inclusion cysts rather than multilocular peritoneal inclusion cysts would also have to be considered in the histologic differential diagnosis. According to the surgeon, these cyst-like lesions, numbering approximately 4-5, were located in the cul-de-sac, without attachment to adjacent organs. Most of these unilocular mesothelial cysts are probably reactive in origin, although some may be developmental. Appropriate clinical correlation and followup are recommended."
*************************************
In English:
They removed 4 or 5 cysts from my lower abdomen. Apparently they were just kinda sitting there, chilling behind my uterus, all filled with fluid and loving the environment. They were what was causing my pain. They're not cancerous and shouldn't affect fertility, but they might come back. They're too small to see by ultrasound, so if the pain comes back I might have to have another laparascopy. But as it stands, I'm cyst-free and able to have children.
These cysts are really rare. My doctor had never seen anything like them before (she's a good doctor, and has plenty of experience), and she ended up having to call a pathologist to get the final diagnosis. Dr. Doherty (my doctor) was really excited by the whole thing, being a scientist, and was happy to see that I was as thrilled by the new knowledge as she was. We were like two little kids, crowding together over the pictures, both trying to get a better view, and going, "Oooh," "I see," "Hmm," etc. It was good fun. Days like today, I like being a scientist.
Anyway.
I also get to go off the damn Pill, since I went on the thing mainly for pain control. Since I (apparently) don't have endometriosis, and the stupid Pill wasn't doing much for pain control anyway, I decided to say, "Screw you, artificial hormones. I want my body back." Maybe my boobs will go back to a normal size, I'll lose weight off my thighs and butt, and I'll actually feel like a human being again instead of an elephant trapped in a girl's body. Man, that would be nice.
I'm going to try to get the pictures the doctor gave me scanned. I've got some great shots of my ovaries, and a few really disgusting pictures of snotlike cysts chilling near my uterus. Good times.
"Received are two containers. The first contains 2 ml yellowish cloudy fluid. The second contains a light tan fragment of tissue.
"Diagnosis:
First container:
Fluid, abdominal cavity, cytologic examination with cytology smears and cell button:
A. Occasional reactive mesothelial cells admixed with neutrophils and lymphocytes.
B. No evidence of epithelium or malignant neoplasm identified.
"Second container:
Cul-de-sac cyst, excision:
Benign mesothelial and squamous epithelial lined, fibrous walled cyst; most consistent with multilocular peritoneal inclusion cyst (see comment).
"Comment:
The fluid submitted as specimen #1 is essentially unremarkable. Specimen #2, consisting of the cul-de-sac cyst, demonstrates a fibrous-walled cyst with the thickness of the wall measuring less than .5 mm. ...blah blah blah... No significant atypia or evidence of malignancy is identified.
"Multilocular peritoneal inclusion cysts may occassionally form large, bulky masses. These lesions have also been referred to as benign cystic mesotheliomas, inflammatory cysts of the peritoneum, or post operative peritoneal cysts. They are commonly associated with lower abdominal or pelvic pain. A role for inflammation in the pathogenesis of these cysts has been suggested. Follow up examination has not disclosed malignant behavior in cases of multilocular peritoneal inclusion cysts, but the lesions have recurred in as many as one-half of the cases.
"The possibility that this cul-de-sac cysts represents multiple separate benign peritoneal inclusion cysts rather than multilocular peritoneal inclusion cysts would also have to be considered in the histologic differential diagnosis. According to the surgeon, these cyst-like lesions, numbering approximately 4-5, were located in the cul-de-sac, without attachment to adjacent organs. Most of these unilocular mesothelial cysts are probably reactive in origin, although some may be developmental. Appropriate clinical correlation and followup are recommended."
*************************************
In English:
They removed 4 or 5 cysts from my lower abdomen. Apparently they were just kinda sitting there, chilling behind my uterus, all filled with fluid and loving the environment. They were what was causing my pain. They're not cancerous and shouldn't affect fertility, but they might come back. They're too small to see by ultrasound, so if the pain comes back I might have to have another laparascopy. But as it stands, I'm cyst-free and able to have children.
These cysts are really rare. My doctor had never seen anything like them before (she's a good doctor, and has plenty of experience), and she ended up having to call a pathologist to get the final diagnosis. Dr. Doherty (my doctor) was really excited by the whole thing, being a scientist, and was happy to see that I was as thrilled by the new knowledge as she was. We were like two little kids, crowding together over the pictures, both trying to get a better view, and going, "Oooh," "I see," "Hmm," etc. It was good fun. Days like today, I like being a scientist.
Anyway.
I also get to go off the damn Pill, since I went on the thing mainly for pain control. Since I (apparently) don't have endometriosis, and the stupid Pill wasn't doing much for pain control anyway, I decided to say, "Screw you, artificial hormones. I want my body back." Maybe my boobs will go back to a normal size, I'll lose weight off my thighs and butt, and I'll actually feel like a human being again instead of an elephant trapped in a girl's body. Man, that would be nice.
I'm going to try to get the pictures the doctor gave me scanned. I've got some great shots of my ovaries, and a few really disgusting pictures of snotlike cysts chilling near my uterus. Good times.
