What is the diagnosis and treatment for a patient with a simple left ovarian cyst (measuring 3.4x2.0x2.7 cm, volume 7.4 cm³) presenting with dizziness, nausea, and intermittent mild pelvic pain, as shown on a pelvic Ultrasound (US) scan?

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Diagnóstico Diferencial Para el paciente con un quiste simple de ovario izquierdo y síntomas de mareos, náuseas y dolor pélvico intermitente, se consideran las siguientes posibilidades:

  • Diagnóstico más probable
  • Quiste ovárico funcional: El quiste simple de ovario izquierdo puede estar causando los síntomas debido a su tamaño y ubicación, lo que podría estar provocando una ligera torsión o irritación del ovario.
  • Otros diagnósticos probables
  • Síndrome premenstrual: Los síntomas de mareos, náuseas y dolor pélvico intermitente podrían estar relacionados con cambios hormonales y no necesariamente con el quiste ovárico.
  • Enfermedad pélvica inflamatoria: Aunque no hay evidencia de infección, la historia de dolor pélvico intermitente podría sugerir una causa inflamatoria subyacente.
  • No debes perder de vista (diagnósticos que no son tan probables, pero que podrían ser mortales si se pasan por alto)
  • Torsión ovárica: Aunque el quiste es simple, siempre existe el riesgo de torsión ovárica, lo que podría ser una emergencia médica.
  • Cáncer de ovario: Aunque el quiste es simple, no se puede descartar completamente la posibilidad de cáncer de ovario, especialmente si el paciente tiene antecedentes familiares o otros factores de riesgo.
  • Diagnósticos raros
  • Quiste dermoide: Un tipo de quiste ovárico que puede contener tejido cerebral, óseo o dental, lo que podría explicar los síntomas.
  • Síndrome de ovario poliquístico: Aunque no hay evidencia de múltiples quistes, el paciente podría tener un síndrome de ovario poliquístico subyacente que esté contribuyendo a los síntomas.

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