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Can Ovarian Cyst Become Cancerous ? | Dr Nilesh Chordiya

Hemorrhagic Cysts and Uterine Fibroids: A Ultimate Guide

In the realm of women’s health, the complexities are numerous, requiring careful consideration. Unforeseen symptoms often prompt a quest to unveil their origins, delving into the intricacies of one’s body. This article takes on the challenge of unraveling the often-misunderstood territories of hemorrhagic cysts and uterine fibroids, seeking to provide clarity and understanding.

Join the journey into these realms guided by Dr. Nilesh Chordia, a distinguished Surgical Oncologist in Mumbai, whose expertise lends valuable insights to empower individuals in their pursuit of comprehensive women’s health.

Hemorrhagic Cysts and Uterine Fibroids: What Are They?

  • Hemorrhagic Cysts: Imagine the intricate network of blood vessels in the ovaries. Occasionally, one of these vessels in the wall of an ovarian cyst might rupture. This leads to bleeding, and as a result, blood fills up within the cyst. This bleeding forms what’s known as a hemorrhagic cyst. While many hemorrhagic cysts might remain silent, not causing any discernible discomfort, some can be the culprits behind the nagging pelvic pain some Women Experience.

  • Uterine Fibroids: Picture the muscular wall of the uterus. Occasionally, non-cancerous growths spring up from this muscle layer. These are uterine fibroids. Their sizes can vary from being as small as an apple seed to as large as a grapefruit. For some women, fibroids might just be silent tenants, causing no bother. But for others, they could be the reason behind prolonged, heavy menstrual bleeding and aching pelvic pain.

The Art and Science of Diagnostics

In the vast world of medical diagnostics, ultrasounds stand as a fundamental, non-invasive tool to peek inside our bodies. But like every art, interpreting an ultrasound’s imagery can sometimes be akin to understanding an abstract painting:

  • Mimicking Images: Just as two different artists might have eerily similar styles, hemorrhagic cysts can sometimes look like their counterparts, such as endometrial cysts. This overlap can make distinguishing between them a tad challenging.
  • Shadows of Doubt: Occasionally, an image might cast a shadow of doubt, making one wonder if it’s signaling the presence of early-stage Ovarian Cancer. But it’s pivotal to remember that while ultrasounds are insightful, they don’t have the final word.

The larger narrative involves piecing together other crucial pieces of the puzzle: familial medical histories, the cyst or fibroid’s dimensions, and its precise location within the body.

Broadening the Diagnostic Horizon

When the story on the ultrasound screen remains murky or raises eyebrows, it’s time to turn the pages and explore further:

  • MRI and CT Scans: Think of these as the magnifying glasses of the medical world. They zoom in, offering a granular view, helping doctors differentiate between the myriad cysts and tumors that could be the underlying culprits.
  • Markers in the Bloodstream: Sometimes, our blood tells tales that images can’t. Specific markers or proteins in the blood can hint at the presence of malignancies like Ovarian Cancer.
  • The Biopsy Chapter: When the narrative gets particularly complex, or when there’s a pressing need to rule out cancer, we turn to the biopsy. It’s a direct approach, where a tiny sample from the cyst or fibroid is extracted. This fragment, when placed under the scrutiny of a microscope, reveals its true nature, helping doctors chart the path forward.

Treatment Paths and Approaches

  • Observation: Not all cysts and fibroids require immediate treatment. If they’re small and not causing symptoms, your doctor might recommend a “wait and watch” approach.
  • Medication: For fibroids causing significant discomfort, medications can sometimes reduce their size or alleviate symptoms.
  • Surgery: Large cysts or those that appear suspicious might be recommended for removal. Similarly, large fibroids or those causing significant symptoms might require surgical extraction.


It’s easy to spiral into a web of anxiety when faced with health Concerns. But remember, the medical realm has advanced leaps and bounds, and with the right guidance, most conditions are manageable, if not entirely treatable.

If you find yourself resonating with any symptoms or concerns mentioned, always Consult with a Medical Professional. Equip yourself with knowledge, ask questions, and remember you’re not alone on this journey.If you have any doubts, do not hesitate reaching out. Our experts are here to help.


    About Author

    Dr. Nilesh is a renowned Cancer surgeon/consultant practicing at SSO Hospital, Infinity Media Surge Hospital, and Navkaar Cancer Clinic Mumbai and he is also a visiting consultant at various hospitals in Mumbai, Thane, Dombivali, Kalyan, Navi Mumbai, etc. With over 10+ years of experience, he is highly trained and specialized in performing GI & Gynae cancer surgery procedures from the simplest to the most complicated surgeries.