Ovarian Cyst/Endometriosis

I had my right ovary and fallopian tube removed last year because of a large endometrioma.  I also had a 4.5 cm cyst removed from my left ovary at that time.  I just received results from an ultrasound done last week.  It reads as follows:

On the right, there is a small complex cyst in the adnexa measuring 1.8 x 1.6 x 1.2.  I'm confused by this since my right ovary and tube were removed.  So, what is the right adnexa?

On the left adnexa, there is a complex cystic structure measuring up to 7.9 cm which has two components.  One has more cystic components measuring 3.7 x 2.9 x 4.9 cm.  More anteriorly, the complex cystic lesion has more soft tissue density and measures 2.8 x 3.3 x 1.7 cm.

Can you help me understand what these results are saying and what their implications are?  Is it a foregone conclusion that I will lose my one remaining ovary?  I am so frightened by the the thought of losing my ovary.

I have an appt to see a specialist in endometriosis in a month.  Should I be trying to get an appointment sooner than that?  Is an endo specialist my best choice, or should I be getting an appointment with a GYN/Oncologist?  I am in my 40s and not worried about trying to get pregnant.

Thank you.

[Elaine Brown, MD]

Hi!
It is somewhat difficult to interpret your results without the images, but it is possible that you have some scar tissue or inclusion cysts in the right side.  The left side definitely has a mass, and it could represent an endometrioma, if you have had problems with endometriosis before.  It doesn't have some of the characteristics that would be more worriesome for a malignancy. I think a month would be safe, but would not want to wait more than that.  You are more likely to get conservative surgery from an endometriosis specialist ( save your ovary ), and more likely to lose the ovary if you see a gyn/onc.  However, if it does turn out to be malignant, you may need a second operation for staging.  Any chance of having BOTH surgeons around>?
Some blood testing such as Ca125  might be helpful,
I think there's a good chance that this is NOT cancer.
Good luck!
Dr B