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Ovarian Cancer (Expert Forum)
Gyn or Gyn-Oncologist
Answered by
Annekathryn Goodman, M.D. - Gynecologic Cancers, Complex Gynecologic, Surgeries, Palliative Care, Acupuncture
Massachusetts General Hospital Cancer Center
Boston - MA
This forum is for questions and support regarding ovarian cancer issues, such as: Biopsy, Chemotherapy, Clinical Trials, Genetics, Hysterectomy,Immunotherapy, Ovarian Cancer Types, Radiation Therapy, Risk Factors, Screening, Staging, Surgery.
Gyn or Gyn-Oncologist
by clarky900, Jan 18, 2007 12:00AM
I'm concerned about the results of my transvaginal ultrasound of pelvis. The report contains comparison from my previous ultrsound done 3 months prior. According to the radiology report:
The uterus measures 8.1 x 4.9 x 5.9 cm. There is a discrete low density area in the uterus which measures 1.9 x 1.5 cm which may represent fibroid.
The right ovary measures 3.5 x 1.9 x 1.7 cm and previously measured 3.0 x 1.8 x 3 cm. Multiple follicular cycts noted in right ovary and one complex cyctic lesion not visualized before measuring 2.1 x 1.6 cm with levelsof internal echoes and may represent corpus luteum cyst.
The left ovary measures 3.3 x 1.4 x 1.5 cm and previously measured 3.0 x 1.4 x 1.4 cm. Multiple follicular cysts with largest measuring 9.0 x 9.0 mm.
Cervix contains nabothian cyst measuring 6.8 x 8.5 mm. Adjacent to this is a hypoechoic area which appears to contain internal echoes and does not meet the guidelines for a nabothian cyst. This measures 7.9 x 4.7 cm.
My PCM says not to worry and has done a referral to a GYN who cannot see me for a few months. Should I be concerned and request to be seen earlier? Also, should I request to see a Gyn-Oncologist?
The uterus measures 8.1 x 4.9 x 5.9 cm. There is a discrete low density area in the uterus which measures 1.9 x 1.5 cm which may represent fibroid.
The right ovary measures 3.5 x 1.9 x 1.7 cm and previously measured 3.0 x 1.8 x 3 cm. Multiple follicular cycts noted in right ovary and one complex cyctic lesion not visualized before measuring 2.1 x 1.6 cm with levelsof internal echoes and may represent corpus luteum cyst.
The left ovary measures 3.3 x 1.4 x 1.5 cm and previously measured 3.0 x 1.4 x 1.4 cm. Multiple follicular cysts with largest measuring 9.0 x 9.0 mm.
Cervix contains nabothian cyst measuring 6.8 x 8.5 mm. Adjacent to this is a hypoechoic area which appears to contain internal echoes and does not meet the guidelines for a nabothian cyst. This measures 7.9 x 4.7 cm.
My PCM says not to worry and has done a referral to a GYN who cannot see me for a few months. Should I be concerned and request to be seen earlier? Also, should I request to see a Gyn-Oncologist?
Doctor's Answer
by Annekathryn Goodman, M.D., Jan 22, 2007 12:00AM
, Jan 22, 2007 12:00AM
Hi There,
Concern about a malignancy is based on several risk factors including age, history of a previous malignancy, a family history of gyn malignancies, and certain symptoms such as unexplained bleeding.
Your ultrasound reports, in the absence of knowing any other clinical information, look ok to me too. Probably starting with a gynecologist and having a careful exploration of your symptoms, history, family history, and physical exam is a good next step.
Best wishes to you
Concern about a malignancy is based on several risk factors including age, history of a previous malignancy, a family history of gyn malignancies, and certain symptoms such as unexplained bleeding.
Your ultrasound reports, in the absence of knowing any other clinical information, look ok to me too. Probably starting with a gynecologist and having a careful exploration of your symptoms, history, family history, and physical exam is a good next step.
Best wishes to you
:)