Managing Ovarian Cysts After Breast Cancer: What You Need to Know

Post-mastectomy sequelae

Hello! I am a stage III breast cancer patient with multiple occurrences.
I had surgery last year and completed chemotherapy and radiation therapy.
I am currently taking hormone therapy.
During a gynecological examination last month, a doctor found a cyst on my ovary and another mass that was not clearly defined.
My cancer markers are normal.
Should I have these two masses surgically removed? Additionally, I recently read reports that cutting the fallopian tubes may help reduce the risk of breast cancer recurrence.
Is this something I could consider? Would it be effective? I already have two children.
Please help me with these questions.
Thank you!

Mei Mei, 30~39 year old female. Ask Date: 2001/05/31

Dr. Xu Junzheng reply Obstetrics and Gynecology

Breast cancer can indeed metastasize to the ovaries, but if it is metastatic, surgical removal would be of no benefit.
Therefore, severing the fallopian tubes would be even less necessary.
Thank you.

Reply Date: 2001/05/31

More Info

Managing ovarian cysts after a breast cancer diagnosis can be a complex issue, especially for patients who have undergone extensive treatment such as surgery, chemotherapy, and radiation. In your case, as a stage III breast cancer survivor currently on hormone therapy, the discovery of an ovarian cyst and another unspecified mass raises several important considerations.

Firstly, it is essential to understand that ovarian cysts are relatively common and can occur in women of all ages, including those who have undergone menopause. The fact that your cancer markers are normal is a positive sign, as it suggests that there is currently no evidence of malignancy. However, the nature of the cysts—whether they are functional (related to the menstrual cycle) or pathological (potentially harmful)—needs to be evaluated further.
In general, if the cyst is small, asymptomatic, and appears benign on imaging studies, it may not require surgical intervention. Regular monitoring through follow-up ultrasounds is often recommended to ensure that the cyst does not grow or change in appearance. However, if the cyst is large, causing symptoms, or if there are any concerns about its nature, surgical removal may be warranted.
Regarding the second part of your question about the potential benefits of salpingectomy (removal of the fallopian tubes) in reducing the risk of breast cancer recurrence, recent studies have suggested that this procedure may indeed lower the risk of breast cancer, particularly in women with a history of hormone receptor-positive breast cancer. The rationale behind this is that the fallopian tubes are thought to be a site where some ovarian cancers originate, and by removing them, you may reduce the overall risk of developing new malignancies.
However, it is crucial to discuss this option with your oncologist and gynecologist, as they can provide personalized advice based on your specific medical history, the characteristics of your breast cancer, and your overall health. They can also help you weigh the risks and benefits of undergoing such a procedure, especially since you have already completed your family.

In conclusion, while the presence of ovarian cysts after breast cancer treatment can be concerning, many cysts are benign and can be monitored safely. Surgical intervention may be necessary depending on the cyst's characteristics and symptoms. Additionally, salpingectomy may offer some protective benefits against breast cancer recurrence, but this decision should be made collaboratively with your healthcare team. Regular follow-ups and open communication with your medical providers are key to managing your health effectively after breast cancer.

Similar Q&A

Navigating Irregular Menstrual Cycles and Ovarian Cysts: Key Considerations

For someone with irregular menstrual cycles ranging from 30 to over 50 days (with 35-40 days being the most common), and who has an ovarian cyst, it is advisable to visit the hospital to obtain medication around the time when the menstrual cycle is least likely to be affected. Gi...

Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: 1. If you want to delay your period, it is generally recommended to schedule an appointment 10 days before your estimated next menstrual date. 2. If the ovarian cyst has not resolved after six months, it is advisable to visit a gynecologist at the hospital. The doctor will...

Understanding Ovarian Cysts, PCOS, and the Role of Soy Isoflavones

Hello, I recently underwent a health check-up and have the following questions: 1. The examination revealed a 0.8 cm benign cyst in my right breast. Will benign cysts disappear on their own? 2. I was diagnosed with polycystic ovary syndrome (PCOS), but I had never been diagno...

Dr. Lin Manying reply Obstetrics and Gynecology
Hello Ms. Sin: 1. Please continue to have regular follow-ups for your breast cysts. 2. Taking soy isoflavones is unlikely to improve acne, but it will not cause polycystic ovary syndrome (PCOS). PCOS is characterized by obesity, hirsutism, and infertility, but not everyone exh...

Understanding Recurring Ovarian Cysts After Hysterectomy: What to Do Next?

Hello! I would like to ask... My mother had a hysterectomy in 1990, and then in 1991, she had her ovaries removed due to intestinal adhesions. Now, after so many years, a cyst about 6 centimeters has developed on the same side. The recent examination results indicate that surgery...

Dr. Li Guanghan reply Obstetrics and Gynecology
Hello: Ovarian cysts can potentially be tumors, physiological cysts, or pseudocysts caused by inflammation and adhesions. It is important to first perform an ultrasound examination to differentiate between them, as this will determine the appropriate management. You are welcome t...

Understanding Ovarian Cysts: Treatment Options and Surgical Considerations

Hello doctor, I would like to ask about my mother (60 years old and postmenopausal). She recently had a check-up and was found to have an 8 cm ovarian cyst. Does she definitely need surgery to remove it, or can it be monitored or treated with medication? If surgery is necessary, ...

Dr. Cao Guotao reply Obstetrics and Gynecology
Hello, it is generally recommended to proceed with surgery. If the tumor is benign, there is no need to remove the uterus as well. Wishing you good health.