I am 44 years old (no history of ovarian cancer in family, paternal grandmother had breast cancer) and went for my annual Gyn exam on June 16. At that time the Dr. felt a movable cyst on my left ovary.
TVUS report:
Imp: 3.8cm cystic mass in the left adnexa, possibly representing a hemorrhagic cyst. Technical imp. did include complex endometrioma
2 mos later TVUS & CT:
CT found nothing out of the ordinary except the cyst.
TVUS: There is a 3.8 x 3.8 x 3cm mildly heterogeneous solid appearing mass identified. Though there is a small associated cystic area measuring approx 1cm in size the bulk of the mass is solid and a few echogenic foci suggestive of calcifications within the mass are noted. Given the appearance this solid mass is suspicious and neoplasia cannot be excluded. No FF.
Gyn Dr. looked at these films and totally disagreed with radiologist. Sent for MRI
Impression: 3.9cm x 3.5cm, well circumscribed left adnexal lesion with increased T1, heterogeneous T2 signal, and no loss of signal on fat suppressed images. This is most suggestive of an endometrioma or less likely a hemorrhagic cyst. Short term follow up is recommended. Post contrast images demonstrate enhancement of the cervix and myometrium, but the signal within the left adnexal mass is not significantly changed. These findings are most consistent with an endometrioma, given the high T1 signal, which is suggestive of blood products. Also, there is a small amount of FF within the pelvis.
No mention of calcifications on the MRI report.
Second opinion agreed with 1st Dr. Repeat TVUS 8 weeks. Extremely rare that this is anything other than benign.
I have no pain and had no idea that a cyst was there until the Dr. told me.
Do you think that I am following the right course of action? Also, do these cysts normally move around to the point that it is felt once and then on 2 subsequent occasions it can’t be felt?
Thank you very much for your time