Saturday, December 30, 2006
Dermoid cyst of the ovary : A bizarre tumor, usually benign, in the ovary that typically contains a diversity of tissues including hair, teeth, bone, thyroid, etc.A dermoid cyst develops from a totipotential germ cell (a primary oocyte) that is retained within the egg sac (ovary). Being totipotential, that cell can give rise to all orders of cells necessary to form mature tissues and often recognizable structures such as hair, bone and sebaceous (oily) material, neural tissue and teeth.
Dermoid cysts may occur at any age but the prime age of detection is in the childbearing years. The average age is 30. Up to 15% of women with ovarian teratomas have them in both ovaries. Dermoid cysts can range in size from a centimeter (less than a half inch) up to 45 cm (about 17 inches) in diameter.
These cysts can cause the ovary to twist (torsion) and imperil its blood supply. The larger the dermoid cyst, the greater the risk of rupture with spillage of the greasy contents which can create problems with adhesions, pain etc. Although the large majority (about 98%) of these tumors are benign, the remaining fraction (about 2%) becomes cancerous (malignant).
Removal of the dermoid cyst is usually the treatment of choice. This can be done by laparotomy (open surgery) or laparoscopy (with a scope). Torsion (twisting) of the ovary by the cyst is an emergency and calls for urgent surgery.
Dermoid cysts of the ovary are also called simply dermoids or ovarian teratomas.
~ Extracted fromMedicineNet.com
Feel unusually calm even when I was told about the news that I do have one of this inside me. Perhaps it was because my mum was with me and I didn't want her to worry about me. First thoughts were the bad timing - this happening at the start of a new school term. What is going to happen to my p6 kiddos? How about their work?...a flurry of such thoughts.
Didn't know how to feel otherwise. Didn't feel it was unlucky that I got it, nor why it has to be me, which is strange as I feel these are the probable questions we do think of when bad things hit us. Second thoughts were about money...whether I will be paid when I'm sick. Then I stupidly remembered I'll only be on medical leave, not no-pay leave. Heart almost stopped a beat when I thought there will be no income coming to feed my family. Strange yah? I can be slow sometimes.
What a unique way to start a new year! Thankfully the doc suggested a date that is after my birthday, in order for me to settle stuff at work. I am just so glad I don't have to spend my bday in the hospital. So it is fixed - 11/1/07 , doomsday. After that, one month of lying around at home. Scary thought.
Though I am defnitely not ready to start work, I am now kinda missing that one month which I'll be out of action. Sigh...
On the other hand, am silently praying that the biopsy report of the cyst will be good, meaning benign. Hard to tell, especially since my sis's the cancerous one. That is the 2% chance. It is all in God's hands. Needed to make sure my mum, sis, grandma do not get worried.
Didn't realise I am such a workaholic and task-oriented till the thought of who's gonna pay the bills, credit cards etcif I have to be at home. Hmm, even Shu told me I sounded as if I was talking about work when I told her about the condition.
Guess the other complication is that the cyst is inside the left ovary - the only one I have left after the emergency op when I was 7 yrs old. The doc needs to repair it after taking the cyst out. Sounds as if it's reparing a burst balloon...eeeeww.
People who know have been smsing me about how I'm feeling. I really don't know how to answer that question. I don't even know what I'm supposed to be feeling. There are still a couple of close frens I have not told and I don't know how to start. Imagine a conversation:
Me: Hey, hi!
A: Hi!
Me: How are you doing?
A: Fine, you?
Me: Good, good. By the way, I'm going for an op to remove a cyst.
A:......*speechless*
Hahaa. Think most people's reactions will be sympathetic, so they probably don't know what to say and the situation will be so awkward.
Anyway, I just want to enjoy whatever time I have left before work starts and the op.
Oh movie review time! Just caught this a few days ago. It goes down as one of the not-too-bad chinese films I've seen so far (which is literally zero?).
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