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This video shows Septated ovarian cysts. Septation is a division or partitioning of a cavity into parts by a septum. Once thought a risk for malignancy, septated ovarian cystic tumors are actually mostly benign. A study at the University of Kentucky changes the standard of care for those patients. Once thought a risk for malignancy, septated ovarian cystic tumors are actually mostly benign. The presence of solid components, papillary projections, intralesional vascularity, or nodular septa is a high concern for malignancy. In premenopausal women, cysts with uniform internal echoes, reticulations, or septations may represent hemorrhagic functional cysts or an endometrioma. Large or persistent ovarian cysts, or cysts that are causing symptoms, usually need to be surgically removed. Surgery is also normally recommended if there are concerns that the cyst could be cancerous or could become cancerous. In summary, the US features of endometriomas are quite variable and sometimes mimic other benign and malignant ovarian lesions. Diffuse low-level internal echoes and echogenic wall foci are more classic features. Endometriotic cysts may have septations, thickened walls, and wall nodularity. Ovarian cystadenomas are liquid-filled cysts that develop from cells on the surface of the ovary. While most are benign, some cystadenomas are cancerous. Ovarian dermoid cysts, or teratomas, are made up of a variety of different cell types. They're a type of ovarian germ cell tumor. If you have pelvic pain with fever, nausea, and vomiting, it could be a sign you have an infection associated with the cyst. An infection deserves immediate medical attention. Cysts can also rupture or twist — a condition called torsion. Vaginal ultrasound can help to show whether any cysts on your ovaries contain cancer or not. If a cyst has any solid areas it is more likely to be cancer. Sometimes, in women who are past their menopause, the ovaries do not show up on an ultrasound.