Noting that chocolate cyst is one of the most common gynecological problems, Neolife Medical Center Gynecology and Obstetrics Specialist Op. Dr. Gonca Saraç; Although it is a benign disease, chocolate cyst, which is defined as the disease of reproductive age women, is questioned about its relationship with ovarian cancer.
Endometriosis in the uterus, which forms the menstrual tissue (endometrium), is located at a different point in the body outside the uterus. With the appearance of endometriosis in the ovaries, chocolate cysts (endometrioma) are formed. Most of the time, the disease is characterized by chronic pain and infertility; 15 percent of reproductive age women, 60 percent of menstrual pain, 30 percent of women with pregnancy problems.
Stating that the biggest concern of patients in chocolate cysts is the possibility of cysts turning into cancer, Saraç said, bir An ovary that forms a chocolate cyst may also cause cancer. However, it is not correct to say that chocolate cyst causes cancer. Recent research has not found a specific genetic mutation or biological clue for the development of ovarian cancer in chocolate cyst patients. In other words, a causal relationship between the two diseases could not be established. Coexistence of chocolate cyst and ovarian cancer may be due to common risk factors (genetic characteristics, environmental factors, etc.). Endometrioid and clear-cell types, especially ovarian cancers, are seen in 1.32 - 1.9 percent more frequently in patients with chocolate cyst problems. ”
Saddler; however, this rate is 1 percent for a woman's lifetime risk of developing ovarian cancer; race, socioeconomic status, location of the tumor and the effect of some factors.
• Risk decreases by 40 percent with long-term use of birth control pills
• The risk decreases by 40 percent for completed pregnancies and the risk decreases with each pregnancy
• 50% reduction in risk for women with ovaries and uterus removed and / or ovarian ducts attached
• The risk of cancer does not change if one of the ovaries is removed
• Fertility drugs used to stimulate the ovaries may increase this risk
• Family history of breast or ovarian cancer increases the risk of ovarian cancer
• 1 out of 3 women with positive BRCA1 and BRCA2 genes carries ovarian cancer risk
• The risk of ovarian cancer increases with age. It reaches its highest rate in the mid-60s. Ovarian cancer is very rare in young women, but it occurs in 5 out of every 10 000 women under 30 years of age.