Aa
Complex Ovarian Cyst
Hi
I am a 32. I have had 2 pregnancies and 2 natural deliveries.
I have developed the following sypmtoms since mid Oct. -sharp pain in my side, lower back ache, pain in abdomen (tender spot-all on left side), UTI with no infection, very painful ovulation and noticing increased indegestion (although not a new problem for me). PCP ordered ultraound suspecting Endometriosis. Unfortunatly he passed before interpreting for me. Results: 12-18-08
Uterus is anterverted, normal in size at 8.9 cm in length x 4.1 AP x 0.4 transverse. Endometrium is 9 mm in thickness, avascular and normal.
Myometrium normal.
Small amount of free fluid in cul de sac.
Right ovary 2.8 cm in length, the left is 3.4. Multiple follicular cysts in the right ovary. The largest is less than 1 cm. There are follicullar cysts of the left ovary, and there is also a Complex Cyst or nodule, possibly hemorrhagic cyst, oval 2.3 cm x 1.6 with some hypervasculairty in the periphery.
Impression:
Anterverted uterus.
2.3 cm complex or hemorrhagic cyst in left ovary.
Small amount of free fluid. Otherwise negative.
What does this mean? Do "hypervascularity" and "free fluid" indicate something bad? I have a family history of cancer. Grandmother(Mother's Mother) Colon at 75, Mother-Breast Survivor at 35,Father-Prostate Survivor at 64. I know my chances are much higher than most so I want to be sure I go to my doctor visit next week prepared. What is the difference between a complex and hemorrhagic cyst? Does this look like something cancerous? Is Ultrasound the best "imaging" method used to look and determine cyst type? What other test should I request? How long should I wait before taking another test? Also, when the ultrasound was being done I felt this pulsating inside (almost like a heart beat in my lower abdomen) and I still feel it every now and then for short periods of time, is that normal cyst symptom? R symptoms in line w/findings? Any advice/sugg would be appreciated.
Thank you.
Sky
I am a 32. I have had 2 pregnancies and 2 natural deliveries.
I have developed the following sypmtoms since mid Oct. -sharp pain in my side, lower back ache, pain in abdomen (tender spot-all on left side), UTI with no infection, very painful ovulation and noticing increased indegestion (although not a new problem for me). PCP ordered ultraound suspecting Endometriosis. Unfortunatly he passed before interpreting for me. Results: 12-18-08
Uterus is anterverted, normal in size at 8.9 cm in length x 4.1 AP x 0.4 transverse. Endometrium is 9 mm in thickness, avascular and normal.
Myometrium normal.
Small amount of free fluid in cul de sac.
Right ovary 2.8 cm in length, the left is 3.4. Multiple follicular cysts in the right ovary. The largest is less than 1 cm. There are follicullar cysts of the left ovary, and there is also a Complex Cyst or nodule, possibly hemorrhagic cyst, oval 2.3 cm x 1.6 with some hypervasculairty in the periphery.
Impression:
Anterverted uterus.
2.3 cm complex or hemorrhagic cyst in left ovary.
Small amount of free fluid. Otherwise negative.
What does this mean? Do "hypervascularity" and "free fluid" indicate something bad? I have a family history of cancer. Grandmother(Mother's Mother) Colon at 75, Mother-Breast Survivor at 35,Father-Prostate Survivor at 64. I know my chances are much higher than most so I want to be sure I go to my doctor visit next week prepared. What is the difference between a complex and hemorrhagic cyst? Does this look like something cancerous? Is Ultrasound the best "imaging" method used to look and determine cyst type? What other test should I request? How long should I wait before taking another test? Also, when the ultrasound was being done I felt this pulsating inside (almost like a heart beat in my lower abdomen) and I still feel it every now and then for short periods of time, is that normal cyst symptom? R symptoms in line w/findings? Any advice/sugg would be appreciated.
Thank you.
Sky
in sept i was diagnosed with a large ovarian cyst on my right ovary, it measures 27cm by 27cm by 17cm and my surgery is on 8th jan. i scared stiff. i will lose 1 ovary. have been trying to conceive for 2yrs no luck. im hoping i can conceive after cyst is removed. but i will only have 1 ovary and im 42 and 6 months. i very frightened of the surgery.
MEDICAL PROFESSIONAL
Hi!
I hope I can reassure you about your ultrasound--it does not sound very worriesome to me. A small amount of free fluid is normal in everyone. The cyst they are describing most probably originated from ovulation, and will most likely resolve on its own without intervention. For my own patient, I would recommend another ultrasound scan in 4-6 weeks. The best imaging technique is a transvaginal ultrasound.
One thing of note, an ultrasound can not rule out endometriosis--so that is still a possibility--the only true way to diagnose endometriosis is with laparoscopy--a minor surgery in which a fiber-optic scope is placed through an incision below the belly button. For my own patient, I would move to that as my next test if the cyst was still present on your follow up scan.
Many women would be tempted to request a Ca125 level--the "ovarian cancer test"--if you do have it done just remember that it can be abnormal for many reasons ( including endometriosis ) and it can be normal even when cancer is present--so take the results with a grain of salt. Its not wrong to do the test, its just not super useful.
One other word I would recommend to a patient of my own--for a daughter of a breast cancer survivor--we recommend starting mammograms 10 years younger than the age at which her mother was diagnosed--so if your mom was 35, you should already be doing yearly mammograms!
I hope this helps!
Good luck!
Dr B
I hope I can reassure you about your ultrasound--it does not sound very worriesome to me. A small amount of free fluid is normal in everyone. The cyst they are describing most probably originated from ovulation, and will most likely resolve on its own without intervention. For my own patient, I would recommend another ultrasound scan in 4-6 weeks. The best imaging technique is a transvaginal ultrasound.
One thing of note, an ultrasound can not rule out endometriosis--so that is still a possibility--the only true way to diagnose endometriosis is with laparoscopy--a minor surgery in which a fiber-optic scope is placed through an incision below the belly button. For my own patient, I would move to that as my next test if the cyst was still present on your follow up scan.
Many women would be tempted to request a Ca125 level--the "ovarian cancer test"--if you do have it done just remember that it can be abnormal for many reasons ( including endometriosis ) and it can be normal even when cancer is present--so take the results with a grain of salt. Its not wrong to do the test, its just not super useful.
One other word I would recommend to a patient of my own--for a daughter of a breast cancer survivor--we recommend starting mammograms 10 years younger than the age at which her mother was diagnosed--so if your mom was 35, you should already be doing yearly mammograms!
I hope this helps!
Good luck!
Dr B
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