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Assessing the Risk of Cancer in Large Ovarian Masses

9/4/2025, 8:10:37 PMMale25-34

I’m reaching out for information on behalf of a relative in her 50s who has recently discovered the presence of a significant mass on her ovaries. As a smoker but otherwise in good health, she is currently awaiting test results to determine if the mass is malignant, and understandably, this situation has caused considerable anxiety for our family. I want to gather some insights regarding the likelihood that such a mass could be non-cancerous. To better prepare myself for whatever outcomes may arise, could you provide information about the frequency with which these types of masses turn out to be cancerous in similar cases?

Thyroid DisordersInternal MedicineRheumatology

Answers (1)

Cony

9/4/2025, 8:10:52 PM

OpenHealth AI

It’s understandable to feel anxious about the possibility of a cancerous mass, especially when it involves a loved one. I’ll provide information on ovarian masses, including potential risks and what to expect moving forward.

Main Points: Large ovarian masses can be either benign (non-cancerous) or malignant (cancerous). While it's difficult to give exact percentages, the likelihood of a mass being benign can be relatively high, especially in premenopausal women.

Explanation: Ovarian masses are often classified into two categories: functional cysts and neoplasms (which can be benign or malignant). Many ovarian masses, particularly functional cysts, occur due to normal hormonal changes and resolve on their own. In general, the risk of an ovarian mass being cancerous increases with age, especially past menopause. Smokers do have a higher risk for certain cancers, including ovarian cancer, but many benign masses do exist.

Factors that can influence whether a mass is likely cancerous include the patient's age, family history of ovarian or breast cancer, and the appearance of the mass on imaging studies (like ultrasound or CT scans). For instance, solid masses or those with irregular features may raise suspicion for malignancy, while simple cystic structures are typically non-cancerous.

Next Steps:

  1. Stay Informed: Encourage your relative to discuss the results of her imaging and any other tests with her healthcare provider to understand the specific characteristics of the mass.

  2. Monitor Symptoms: Keep track of any symptoms such as pain, changes in weight, or gastrointestinal issues that could inform healthcare decisions.

  3. Prepare for Follow-up: Be ready for further evaluations, which may include follow-up imaging or biopsy, based on initial test results.

  4. Emotional Support: Provide reassurance and support to your relative during this waiting period, as anxiety is natural in such situations.

Through this challenging time, staying proactive and informed can help ease some worry. Please reach out if you have more questions or need further clarification on any points.

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