Q Could an ovarian cyst turn into cancer? How can I tell if it's malignant?
A Most ovarian cysts are benign, but if a cyst is large or has a complex internal structure, evaluating for malignancy is important. We first assess with a CA-125 blood test and ultrasound, and if needed, perform an MRI or biopsy.
Detailed Answer
The vast majority of ovarian cysts are benign, including functional cysts, dermoid cysts, and endometriomas in women of reproductive age. However, detailed evaluation to rule out malignancy is needed in the following cases: (1) when the cyst is 6 cm or larger or grows rapidly; (2) when ultrasound shows solid components, septa, or irregular blood flow inside; (3) when it newly appears or grows after menopause; (4) when the blood CA-125 level is high. In these situations, an MRI or laparoscopic biopsy may be necessary. Regular ultrasound follow-up is the most important way to catch malignant changes early.
Korean Medicine Clinic Perspective
Dongjedang advises that if malignancy is suspected or not ruled out, you must first undergo detailed gynecological examination. Only when benignity has been confirmed and you are entering follow-up management do we combine Korean medicine treatment, and we recommend maintaining regular ultrasound follow-up even during Korean medicine treatment.
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