I'm 22 and recently told I have a complex mass on my right ovary 5.6cm. I'm
worried it might be cancer. Should I be? I don't see my doctor for 4 weeks. I
tried to call but she never called me back. I just got my ultrasound results
today. Here they are: Uterus measures 7.3x4.4x2.9 cm. The endometrial stripe is
3.3 mm. The left ovary demonstrates small subcentimeter follicles. In the right adnexea, there is a 5.6x5.0x5.4 cm complex mass of uncertain etiology.Malignancy can not be excluded.
There is a Nabothian Cyst. No free fluid collection.
most ovarian cyts and masses are benign. The risk of malignancy goes up with age. The average age of ovarian cancer is 55.
I would say that 80% of the time at age 22, when you check again the mass is gone because it was just a funny cyst of ovulation that had some bleeding and then looked complex.
so usually we would repeat the scan after a menstrual cycle or 2.
persistent mass at your age are usually dermoid cysts - benign tumors or endometriomas - a cyst from endometriosis, a benign condition.
There are some extremely rare malignancies that occur at your age including germ cell tumors and borderline ovarian tumors.
In addition to a repeat US (or some doctors would get a pelvic MRI as a follow up), we usually check blood tests such as a pregnancy test (bHCG), a blood count to check for anemia, and certain "tumor markers" such as alpha feto protein (afb) and CA 125.
if the mass is still present on repeat ultrasound, the next step is to consider looking at it surgically by laparoscopy and removing the cyst by surgery.
I know it is really stressful not knowing. good follow up is very important.
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