Gyn or Gyn-Oncologist

[clarky900]

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?

[Annekathryn Goodman, M.D.]

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

[casper1991]

I would look into seeing an oncologist. I have had many others on here tell that the onco is the best for anything in this nature. Also, they should get you in sooner than a few months.

:)