Complex Cysts: Dermoid Ovarian Cyst



One of the most common types of complex cysts are dermoid ovarian cysts. They are known to be different from other types of cysts simply because of the materials that they contain. Unlike other cysts that are usually only fluid-filled, dermoid cysts in ovaries re known to contain substances such as teeth, nails, cartilage, bones, hair follicles and mature human skin.

They are usually common in women of a younger age who have reached a child bearing age. Most of dermoid ovarian cysts are malignant. Studies show that out of all cysts that are categorized as dermoids, only 2% ever turn out to be cancerous.

The reason for the strange contents of these cysts on ovaries lies in their formation. They are unlike other cysts mainly because they are formed from unspecialized cells. These are cells which are primitive germ cells. They can grow into any form of human tissue and thus the reason why many people have dermoid ovarian cysts that have different forms of human tissues.

These types of cysts may occur in one ovary or both of the ovaries. This is all dependent on the genetic makeup of the woman and the lifestyle that she leads. In most cases, they usually occur in both ovaries. They however rarely cause most of the symptoms of ovarian cysts mainly because they rarely grow into large sizes.

However, in cases in which they do, they usually cause abnormal menstrual bleeding, urination complications, pain during sexual intercourse, vomiting, nausea, abdominal and pelvic pain and breast sensitivity. These symptoms of dermoid ovarian cysts tend to get more intense the larger the cyst becomes. They tend to vary in sizes depending on how long they have been in a woman’s ovaries and a woman’s general lifestyle. There are some which are one half of an inch, while others are as large as being 18 inches in diameter.

Dermoid ovarian cysts and pregnancy concerns are common. In most cases, women can have dermoidcysts on ovaries throughout their pregnancy without them causing any pregnancy complications. Problems only usually arise in cases where the cysts are too large or when other complications of cysts in ovaries such as cyst burst, ovarian torsion and twisting of ovarian cysts occur.

During pregnancy, it is thus up to your doctor to determine whether it is possible for you to carry your pregnancy to its full term without necessarily having to remove the cysts. The risks of removal of ovarian cysts and those of the surgical procedures will thus have to be carefully assessed. Removal of cysts on ovaries that are above six centimeters in diameter is usually performed in the baby’s second trimester using either of the less intrusive surgical procedures.



Dermoid Ovarian Cyst Complications



A dermoidovarian cyst is usually harmless. This is despite the fact that they usually contain almost any type of human tissue. This type of cyst on ovary is known to contain tissues such as well-formed human teeth, bone fragments, long strands of human hair, fragments of thyroid tissues and many other types of tissues that would not normally be found in other types of ovarian cysts. Since they usually never cause symptoms of ovarian cysts, they are usually only discovered during a routine pelvic exam.

There are however cases where complications of dermoid cysts arise. These complications usually arise in cases where the cysts on ovaries grow and develop to such an extent that they start interfering with the normal functioning of a woman’s reproductive system. Studies show that this growth of cysts on ovaries is usually fueled by the unhealthy foods most women consume and unhealthy lifestyles that they lead.

The twisting of dermoid ovarian cysts may occur. When this happens, blood flow to the ovaries may be interfered with. This is so mainly because the twisting may result in the constriction of blood vessels supplying blood to the ovaries. This twisting usually results in a lot of pain.  Where blood flow to the ovaries is interfered with, a woman will risk losing her ovary and thus making getting pregnant difficult or impossible. This is so because of the fact that a woman’s ovarian tissues may die and thus interfering with the process of ovulation.

Dermoid ovarian cyst rupture is another complication that can occur when the cysts on ovaries are not treated as early as possible. When a cyst ruptures, one usually feels a sharp abdominal pain. This is however not in all cases of ruptured ovarian cysts. A ruptured may also expose a woman to the risk of contracting an infection of the reproductive system.

This is mainly due to the fluid that is released into the internal parts of a woman’s reproductive system and organs that are adjacent to it. The rupturing of a dermoid cyst may also affect a woman’s ability to get pregnant especially if the burst that occurs negatively affects the ability of the ovaries to release the egg during the woman’s menstrual cycle.

Removal of theovarian cysts may be necessary where serious complications arise. Although the surgical removal of a dermoid cyst may not cause a woman to be infertile, there are cases where surgery results in the damage of a woman’s ovaries and thus causing permanent infertility. This is why a woman should always use natural methods of treating ovarian cysts to prevent their growth, development and the occurrence of extreme cases of ovarian complications.

Congratulations! By learning about dermoid ovarian cyst complications, you are now a step closer to taking total control of your reproductive health.

Dermoid Ovarian Cysts: “Strange” Cysts On Ovaries You Should Know About



There are many types of ovarian cysts, but the ones which can be said to be strange are dermoid ovarian cysts. This has mainly to do with the fact that they usually occur differently from the other types of cysts on ovaries. Due to the nature of these cells, they may contain well-formed teeth, sizeable clumps of human hair, bone tissues, muscle fibers, thyroid tissue and mature skin with sweat glands among other things. This is unlike the other types of cysts on ovaries which usually contain fluids.

Dermoid ovarian cysts are known to have these “strange” pieces of tissue mainly because of the fact that they arise from a single cell that has not yet been specialized. This means that the cells within the cysts can develop into anything and thus as a result, one can find almost any tissue within her ovaries.

As far as symptoms of ovarian cysts are concerned, these types of cysts on ovaries rarely result in any negative effects on the woman who has them. Naturally, they are usually detected by a pelvic exam. This is usually so because when they are small in size, the only thing that they usually do is to cause an enlargement of a woman’s ovaries. This is something that most women never get to realize unless they pay a visit to the doctor.

Although rare, there are cases where dermoid ovarian cysts rupture and thus cause severe pelvic pain. Instances of ovarian torsion, especially when the dermoid cysts become large, also occasionally occur. 

In cases where these cysts on ovaries rupture and thus end up releasing the cystic fluid inside a woman’s reproductive system, a woman is usually exposed to risks of contracting an infection. It is thus usually advisable that you immediately pay a visit to the doctor the moment you start experiencing sharp pelvic and abdominal pains. Removal of the dermoid ovarian cyst may be necessary in cases where extreme complications of cysts on ovaries arise.

Congratulations! By increasing your knowledge on dermoid ovarian cysts, you are a step closer to taking full control of your reproductive health.

What Is Ovarian Cyst?



What is an ovarian cyst? Simply put, it is a fluid-filled sac which occurs within the ovary. In most cases, the fluid is usually covered by a very thin wall This is a general description since there are many types of ovarian cysts They usually differ in terms of size, contents and the way through which they are formed.

Ovarian cysts usually vary in size. Some are as small as a pea, while others are as big as an orange. They are also of different weights with some weighing up to 12 kg and in some extreme cases up to 35 kg.

Statistics show that most of the cysts on ovaries are usually functional in nature. These types of cysts are usually harmless and in most cases, women who have them never get to realize that they exist. In fact, in a majority of the cases, these types of ovarian cysts usually shrink and disappear on their own without the need for treatment.

Cysts on ovaries are so common in that in the United States, it is estimated that they are found in almost all premenopausal women. This means that if you have reached a childbearing age and you have not yet entered into menopause, you have it or had it at a given time in the past. They are rare in postmenopausal women, although 14.8% is a significant enough number.




While ovarian cysts affect women independent of their age, they are usually common in women who are still in their child-bearing years. Where they occur in postmenopausal women, the chances of they being malignant (cancerous) are higher than those of women who have not yet reached menopause.

When trying to understand: “what is ovarian cyst?”; it is imperative that you be aware of the fact that not all cysts on ovaries cause symptoms. Women usually start to experience the common symptoms of ovarian cysts when they become large cysts and thus in effect start to affect the functioning of adjacent organs. Pelvic pain, bloating of the abdomen, abnormal bleeding and nausea are some of the effects that can be caused by cysts on ovaries.

Natural methods are usually effective in getting rid of cysts. They are usually recommended because of their effectiveness and reduced risks of having adverse side effects on the body of a woman. There are however cases where surgery becomes the only option so far as treatments of ovarian cysts go. Leading a healthy lifestyle and eating a healthy and balanced diet are however a sure way of preventing the growth and development of cysts on ovaries.

Congratulations! By learning “What Is Ovarian Cyst”, you are a step closer to taking total control of your reproductive health.


Dermoid Ovarian Cyst Statistics: What The Numbers Say



There are different types of ovarian cysts in the world today. Although most women have a limited knowledge so far as cysts on ovaries are concerned, statistics show that the majority of women usually develop cysts in their ovaries at least at a given time in their child-bearing age. 

It is just that most of them never really become aware of their presence. This is so because a woman usually starts to experience the symptoms of ovarian cysts only when they have become large and thus started interfering with the normal functioning of the female reproductive system.

Dermoid ovarian cysts are a type of cysts on ovaries which grow in the ovaries. Statics show that they are fairly common given that they constitute almost 1/3(a third) of all benign ovarian tumors. According to studies carried out over the years, dermoid cysts are rarely cancerous. They are usually benign especially in young women.

Cases where these cysts become malignant are very rare. It is estimated that the instances where they turn out to be cancerous constitute less than 2 percent of all reported cases. This is very rare.



This does not however mean that they cannot be cancerous. This is so especially in women who are past menopause. Studies show that cysts which occur in women who are past a child-bearing age are more likely to be cancerous than the ones which occur in younger women. If you thus develop dermoid ovarian cysts and you are well over 40 years of age, you should go for a medical check-up so that the doctor can make sure that it is not cancerous.

Dermoid ovarian cysts can occur in either one or both ovaries. Studies show that women who develop these types of cysts on ovaries usually account for almost 10 percent of the cases. This means that in cases where severe complications develop and thus causing the need for the removal of the ovaries, about 10 percent of the women will risk suffering permanent infertility.

Congratulations! By increasing your dermoid ovarian cyst knowledge, you are a step closer to taking total control of your reproductive health.


Dermoid Ovarian Cyst: A Summary



Dermoid ovarian cysts are a type of cysts on ovaries that develop in a woman during her reproductive years. Just as the name suggests, they usually form in a woman’s ovaries.

Dermoid cysts are usually different from other types of cysts mainly because of the cells from which they develop. This difference in the nature of the cells usually results in such cysts having materials that other types of ovarian cysts wouldn't normally have. It is not unusual for one to have ones which have fully mature skin, strands or clumps of long hair, bone tissue, thyroid tissue and sometime even teeth. They may also be filled with fat, a colorless liquid or blood.

Dermoid cyst-on-ovary symptoms are almost similar to the common symptoms of ovarian cysts. These symptoms include having a bloated stomach, pain in the lower abdomen region, pelvic pain, an increase in the frequency with which one urinates, abnormal bleeding such as bleeding between periods. Most of the symptoms usually occur when they become large cysts.



Complications may also result especially where the cysts become large in size. There are cases where the ovarian cyst rupture occurs, a condition that usually results in sharp pains and sometimes even bleeding. Twisting of the ovaries may also be caused by dermoid ovarian cysts. Torsion and bleeding of the cysts on ovaries may also make a woman’s reproductive system to be susceptible to infections, something which sometimes usually proves fatal.

Natural remedies of treating this type of cysts exist. These remedies are usually effective especially when the common complications have not yet developed. This is so because most natural treatments of ovarian cysts usually work by preventing the growth of the cysts or reducing irritation. As a result, when detected early, dermoid ovarian cysts can be effectively managed and treated.

Extreme cases usually call for surgery. This can be done through the conventional open surgery or through a laparoscopy. Since a laparoscopy usually has lesser risks, by virtue of the fact that only a small incision is made on a woman’s abdomen, it is usually the preferred method of surgery. However, it is generally usually advisable that a woman should try all natural treatments of ovarian cysts before resorting to any form of surgery. This is so because of the risks that a woman is usually exposed to when undergoing normal surgical procedures.

Congratulations! By increasing your dermoid ovarian cyst knowledge, you are a step closer to taking full control of your reproductive health.


Dermoid Ovarian Cysts: The Nature Of These Cysts On Ovaries



There are many types of ovarian cysts that women around the world have. Of all  of these, dermoid ovarian cysts are the ones that usually get most women worried. While the symptoms of this type of cysts are the same as those of other types of cysts on ovaries, their characteristics usually vary.


Given the nature of the cells from which these cysts are usually formed from, it is common for them to have layers of mature skin. There are also cases where the skin that is found inside the dermoid cysts have sweat glands and hair follicles.


It is also not surprising to find cases where women who have this form of cysts find strands of long hair, cartilage and sometimes even pieces of bone tissue. Dermoid ovarian cysts may also have different forms of fluids in them. Traces of colorless fluid, blood and sebum may be found in these types of cysts.



Some women have also been reported to have dermoid cysts that contain nails, teeth, fat tissues and in some cases even thyroid tissues. 


While this type of ovarian cyst may cause a lot of discomfort, especially when they become large cysts, they are usually rarely malignant. This is so mainly because of the fact that they are usually made up of mature cells which are less likely to be malignant.


This does not however mean that dermoid ovarian cysts cannot be malignant. There are cases where they develop cancerous cells, a situation that usually calls for immediate medical attention. This is so because in most cases where cancerous tissues are involved, the only way to be sure that one has a shot at getting better is to detect the presence of the cancerous tissues as early as possible.


Bloating of the abdomen, pelvic pain, increase in frequency of urination and other common symptoms of ovarian cysts may be a sign that a woman has dermoid cysts.

When it comes to treatment of dermoid cysts on ovaries, there are both natural and “non-natural” methods of treating them. Eating a well balanced diet and leading a healthy lifestyle may well go a long way win helping you to reduce the irritation of the cysts. 

Natural methods of eliminating cysts on ovaries may also be effective in eliminating ovarian cysts. The y however have limitation and there are cases where only surgical procedures can help you to get rid of dermoid ovarian cysts.

Congratulations! By increasing your ovarian cyst knowledge, you are a step closer to taking charge of your reproductive health.


Symptoms Of Ovarian Cysts: A Summary



Knowing symptoms of ovarian cysts is important to you as a woman. This is so because of the fact that early detection of cysts in your ovary is the key to your managing and eventually getting rid of the cysts. It will also increase the options that you will have as a woman so far as treatment of ovarian cysts is concerned. This is so because in extreme cases where complications have already developed, surgical procedures are usually the only available option. Here is what you should look out for so far as symptoms of cysts on ovaries are concerned.

Bloating Of The Abdomen And Pain On The Lower Part Of The Abdomen

These two symptoms of ovarian cysts usually arise when cysts grow in size and thus causing them to apply pressure on adjacent organs and tissues. This can lead to pain and bloating at the abdominal area. Pelvic pain may also be caused as a result of infections that arise especially in cases of bleeding cysts and ovarian cyst rupture. Twisted ovarian cysts can also cause severe and sharp pelvic pain.

Pain During Sexual Intercourse

This also occurs when a woman has large cysts. In cases where complications arise and the reproductive system gets infected, one may also experience pain during sexual intercourse. This may cause a strain in relationships given the central role that sex plays in most relationships and marriages. If you are finding sex uncomfortable and painful, ovarian cysts may be to blame for problems in the marital bed.



Increased Frequency Of Urination

If you find yourself having an increased need to visit the toilet, cysts on your ovaries may be to blame. Given the proximity of the bladder to the ovary, when large cysts develop, they tend to apply pressure on the bladder and thus affecting its capacity to hold urine. As a result, the urine’s capacity is usually reduced and hence it cannot hold a lot of urine within a given time. You will thus have to empty it more often than normal.

Abnormal Vaginal Bleeding

Complex ovarian cysts are known to cause abnormal bleeding. In cases where chocolate cysts burst, a woman tends to experience a dark red-brown form of bleeding. Twisted ovarian cysts may also cause irregular bleeding. One may also experience painful menstrual cycles given the role that hormones play when it comes to the level of irritation of the cysts.

Problems Getting Pregnant

There is a relationship between difficulty in conception and ovarian cysts. This is so because of the fact that there are severe cases in which an ovarian cyst can cause permanent damage to the ovaries. This is so especially in cases where cysts on ovaries rupture and also when they cause the twisting of the ovary. Endometriomas can also lead to difficulty in a woman getting pregnant especially in cases where the endometrial cells develop in the fallopian tube and thus affecting the chances of the egg getting fertilized by sperms.

Increasing your ovarian cyst knowledge brings you closer to yourself.

Now, you are a step closer to taking charge of your reproductive health. Congratulations!



Types Of Ovarian Cysts: It Won’t Hurt You To Know About Them



Cysts on ovaries are common in women of a childbearing age. However, most women have a limited knowledge when it comes to ovarian cysts. This is usually to no one’s advantage especially considering the health risks that women who have cysts in their ovaries are exposed to. This does not mean that every woman who has a cyst will suffer from the symptoms of ovarian cysts. All that it means is that increasing your ovarian cyst knowledge will work to your advantage since it will help you to ensure that they do not develop in your ovary and in cases where they are already present, they do not grow and thus increase in size. The following are the common types of ovarian cysts that you should know about.

Functional cysts are the most common type of ovarian cysts. They are usually regarded as normal and usually cause no side effects especially in cases where they do not become overly large. Normally, they disappear at a certain stage of a woman’s menstrual cycle. They usually shrink and disappear after a month or two and thus should not be a cause of worry. Wait-and-see is the method that most doctors usually prescribe for these types of ovarian cysts. They are normal in women who are ovulating and thus if a woman is in menopause or past this stage, the occurrence of these types of cysts may be an indication of a serious condition.



Endometriomas, commonly known as chocolate cysts, are common in women with a condition of the female reproductive system known as endometriosis. This is a condition in which cells of the endometrial lining grow in other parts of the female reproductive system such as the fallopian tubes, ovaries and sometimes even adjacent organs such as the kidneys. These types of ovarian cysts are usually filled with a thick dark brown substance and hence the reason why they are commonly referred to as chocolate cysts. Symptoms of chocolate cysts include severe pain in the abdomen area, bloating of the abdomen, pain during sex, pregnancy problems and they may sometimes lead to infections of the reproductive system. Painful menstrual periods are also common in women with endometriomas.

Benign cystic tumors, also known as cystadenomas, are also another type of ovarian cysts. They are generally non-cancerous. Unlike most cysts that are usually filled with liquids, these types are usually filled with fatty substances. They usually develop from cells located on the outer regions of a woman’s ovaries. Dermoid cysts, which are an example of a benign tumor, are usually filled with structures such as patches of skin, bone tissues and hair. They are usually small, although there are cases in which they can grown into extremely large cysts and thus making a woman’s life unbearable.

For women who find regular ovulation a rare occurrence, the risks of developing multiple cysts are usually high. This is a disorder of the female reproductive system which is characterized by a woman’s ovaries becoming enlarged and having many tiny ovarian cysts. This situation can be a result of a condition known as polycystic ovarian syndrome (PCOS). Some of the symptoms of PCOS include increased bodily hair, infertility and irregular periods among others.

This is just but a summary of some of the types of ovarian cysts which you ought to know about. 

At least you are now a step closer to taking control of your reproductive health. Congratulations!




Things You Should Know About Cysts On Ovaries



Ovarian cysts are common in women around the world. The surprising fact is that most women know nothing about them. This is not really surprising, especially considering the fact that most of the women with cysts on ovaries never get to know of their presence. This is so mainly because women with cysts on ovaries never experience the side effects of having them not until they increase in size or until complications of ovarian cysts arise. Since any woman with cysts can experience the devastating symptoms of ovarian cysts, it is usually advisable for all women to have a basic knowledge of what they are, how they occur and how best to prevent them.

The first thing that you should understand is that ovarian cysts occur in the ovaries. Since it is only women who have ovaries, they alone can have this type of cysts. They usually occur when the follicles of the ovary fail to release the egg despite it having matured. The result of this is that the ovary will have fluid filled sacs which are commonly referred to as ovarian cysts. This is one of the reasons why the use of birth control pills is effective in treating cysts on ovaries, especially so far as their symptoms are concerned.

The Other thing that you should know is that cysts usually occur in different sizes. Some women have small ones, while others have large ones. Some of the cysts weigh as much as 12kg with some women also having cysts that weigh as much as 35 and 50kg, although these cases are extremely rare. One can also have cysts on one ovary while another may have them on both ovaries. In the majority of cases, ovarian cysts are usually small and thus usually cause almost no side effects.

Complex ovarian cysts may develop with time, especially if the diet and general lifestyle is one which encourages such growth. In such cases, a woman may experience the twisting of cysts, ovarian cyst rupture, bleeding cysts and many other forms of complications that may make it difficult for her to live normally.

It is also important to be aware of some of the common symptoms of ovarian cysts. The bloating of the abdomen, a dull ache at the lower abdomen area, abnormal vaginal bleeding, pain during sexual intercourse and difficulty in getting pregnant are some of the symptoms associated with cysts on ovaries. Although rare, there are also cases where such cysts become malignant (cancerous) and thus the need to see a doctor immediately you note any of the symptoms of cysts on ovaries.

As far as ovarian cyst treatment is concerned, you can opt for natural methods, artificial methods and also surgery. Natural methods of treating cysts on ovaries are usually the safest and also effective. This is so especially when the risks that surgery exposes a patient to are taken into consideration. Surgical procedures are however sometimes the only treatment option that some patients have especially in cases of extremely large cysts or malignant cysts. One should however always give natural methods a try before opting for any risky surgical procedure.



Ovarian Cyst Home Remedies



While it is true that the majority of women have cysts in their ovaries, most of them rarely know of their existence. This is the case because most women rarely experience the symptoms of ovarian cysts as they are usually small in size. There are however significant cases where cysts cause a lot of discomfort and as a result may make the life of a woman unbearable. The following are some of the ways through which you can manage symptoms of cysts on ovaries naturally.

Abdominal pain and bloating is a common sign of cysts on ovaries. When cysts grow in size, they usually affect the functioning of the ovary and adjacent tissues and organs and thus causing the pain and bloating. In cases where a woman has complex ovarian cysts, the pain and degree of bloating may be severe.



A strap-on heating pad will come in handy when it comes to ovarian pain. This is so because the heat produced by the pad will increase the blood flow to the ovaries and adjacent tissues and thus alleviating the pain. Any swelling and discomfort will also be reduced by the heat produced by the pad. You can also use a bottle filled with hot water, provided you wrap the bottle in clothing to avoid the bottle scalding you, to relieve the pain.

Most of the symptoms of cysts on ovaries that women experience can be prevented by eating a healthy and balanced diet. This is so because there are foods which are known to decrease irritation. Eating fruits and salads is the easiest way to keep any discomfort at bay. This is so because such foods are considered natural diuretics. They also contain substances that help in the detoxification of the body. Vegetable such as cucumbers, lettuce, carrots and tomatoes have been found to be effective when it comes to managing pain from ovarian cysts.

Since blood flow is critical when it comes to the severity of the symptoms of ovarian cysts, it is important that you engage in activities that help you to exercise your body. Exercise is also good in helping the body to get rid of toxins and thus it is a healthy way to live.

Although it is not entirely natural, birth control pills can be effective in helping you to manage the growth of ovarian cysts. This is so because studies show that there is a relationship between a woman’s menstrual cycle and the development of cysts on ovaries. As such, using them can be helpful in helping you to relieve some of the severe symptoms of cysts. You should however consult your doctor before resorting to the use of contraceptives as a way to get rid of ovarian cysts because of the severe side effects that come of them have.



35 Kg Ovarian Cyst Removed From A Timaru Woman






As it happens, it is possible for one to have ovarian cysts that can literally increase one’s weight. A Timaru woman found this out when surgeons removed a cyst that weight 35 kg from her body. Like anyone else her size would believe, Sharon Watt believed that the increase in weight was due to her overeating.

According to Fairfax, Ms. Watt’s tumor was only discovered after she complained of extensive stomach pains. A diagnosis later revealed a large growth which was larger than initially anticipated. Gynecologist Albert Makary admitted to it being the largest ovarian cyst that he had seen in his career.

The cyst that weighs almost as much as 10 babies had had a significant impact on Sharon’s life. As she admitted, having the cyst had made it almost impossible to wear some of her clothing. She admitted to Fairfax saying that: “I can actually fit into some of my clothes now which is nice; I was wearing a 5XL T-shirt and couldn't understand why.



As it turns out, Ms. Watt’s cyst is not even the largest cyst ever extracted from a woman’s body. The largest cyst weighed a massive 50 kg. This is why it is always advisable that women go for regular checkups once they reach a childbearing age. This is so because statistics show that a large percentage of women in the world today have cysts and that when not detected early, they can grow to sizes that only surgical procedures can be of use.

It is also advisable that you watch your lifestyle. The foods you eat will play a large role in determining not only the presence of cysts on ovaries, but also the rate of their growth. 

Leading a healthy lifestyle is usually the best method of preventing the growth of cysts on ovaries. Once you have started experiencing abdominal pains and other symptoms of ovarian cysts, opting for natural treatments of ovarian cysts might be a healthy and risk-free way to be free from the growths. However, natural methods have their limitations too, especially when cysts grow as heavy as 35 kg.