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my complex ovarian cyst - is it ovarian cancer?
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my complex ovarian cyst - is it ovarian cancer?

Hi,

I'm trying to figure out my Risk of Malignancy Index (RMI) to ascertain whether I have ovarian cancer or a benign cyst.  The part I'm having difficulty with is figuring out the ultrasound score from the ultrasound report. Can you help me?

One point is assigned for each of the following: a multi-locular cyst (sort of like a cluster of large grapes), solid areas, evidence of spread (metastases), abnormal free fluid (ascites), or masses on both ovaries. Here's what my ultrasound report says:  "There is a complex cystic structure on one ovary.  There is some anteriorly positioned nonvascularized tissue affixed to the internal surface of this structure.  Low level echogenic liquid material is identified within."  There is also a "simple presumed follicular cyst" on both ovaries, in addition to the one large complex cyst on one ovary.  What is my ultrasound score?  

Thanks!
Angel
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Hi!
I don't think you can really use the data that they gave you to calculate a very reliable value.  If I were going to calculate, I would guess a one.
From reading the ultrasound report, I would bet money that you have a hemorrhagic corpus luteum cyst.  If you were my patient, I would re-scan in 1-3 months.  I would bet there's about a 95% chance that this cyst will disappear.  If after the repeat scan, the cyst was still there, or if it was bigger, I would proceed to lapaproscopy to take a peak. Next most likely diagnosis is an endometrioma.

Good luck!
Dr B
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