OVARIAN CANCER COMMUNITY
Help deciphering pelvic sonogram report

Help deciphering pelvic sonogram report

Hello,
I am writing this request for my mom, who is experiencing extreme menstrual pain during that time of month. She had a pelvic sonogram done and I would very much appreciate it if someone could explain what the report says. She is going to go to a gynecologist soon, because her current physician isn't doing anything to help.

Report details:
Family history of ovarian cancer.

Transabdominal and transvaginal scanning were performed. The uterus is normal in size measuring 10.1 x 5.4 x 6.8 cm. A small anechoic focus is noted within the myometruim measuring 0.5 cm. This abuts the endometrial stripe and may represent adenomyosis. The endometrial stripe measures 9 mm AP and this is whiting normal limits. The right ovary is normal in size and echotexture. A simple cyst is noted in the left ovary measring 3.3 x 2.1 cm.

IMPRESSION: LEFT OVARIAN SIMPLE CYST. SMALL ANECHOIC FOCUS ABUTTING THE ENDOMETRIAL STRIPE MAY REPRESENT ADENOMYOSIS.

My question is, what is adenomyosis? Should she be worried about anything mentioned in the report? Is there anything she should ask the doctor when she visits him/her? Do you have any suggestions as to how to alleviate the pain? And what this all means in the long run, is this a precursor to ovarian cancer? Are there any treatments she should seek?

Thank you very much for you time and efforts. I really do appreciate all the answers. Have a great day.
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2 Comments
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Hi KilMi,
It is a good idea for Mum to connect with her gynaecologist soon, hopefully within a couple of weeks if that is possible. In the dictionary, "Adeno" means a gland and "Myosis" means muscle. So it sounds as though there is some different or more glandular tissue in the muscle of the uterus. Of course the inner lining of our uterus is all glandular. As for the ovary cyst, lots of women have ovarian cysts in varying sizes, causing them discomfort or pain from time to time.
I am sure you don't need to worry too much, but I would seek the verification of the gynaecologist. A question you could ask the Gynae Dr is for a CA125 test, which may be abnormally raised in some women and can be used as an indicator for some women with ovarian cancer. With ovarian, mentsrual, or hormonal problams the CA125 can be raised and it not be cancer. In Australia a reading less than 35 is normal for all sorts of reasons as above. Hope this helps to reassure you & Mum.
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We're not doctors, and she should follow up with her doctor.  

However, the third listing in my Google search says ...
Known as "Endometriosis of the uterus," Adenomyosis is benign and does not cause cancer.

I suggest you google for more information.  
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