Ovarian Cancer Expert Forum
US/CT scan results: 'dermoid' cyst, free pelvic fluid
About This Forum:

This forum is for questions and support regarding ovarian cancer issues, such as: Biopsy, Chemotherapy, Clinical Trials, Genetics, Hysterectomy, Immunotherapy, Ovarian Cancer Types, Radiation Therapy, Risk Factors, Screening, Staging, Surgery.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

US/CT scan results: 'dermoid' cyst, free pelvic fluid

I'm 35, no kids

US 9/29 after a ER trip with LL pelvic pain (mild pain a month prior).

Findings: complex predominantly echogenic right adnexal mass with measures 2.4 X 1.8 X 2.1. There is a rind of ovarian stroma around the mass as well as a unilocular cyst with measures 2.3 X 2.2 X 1.9 cm. The left adnexa measures 3.0 X 2.6 X 2.7 cm and contains a unilocular mildly complex follicle or cyst which measures 2.1 X 1.5 X 1.5 cm. Mildly increased volume of free fluid in the right pelvis and cul-de-sac. Conclusions: Unilocular right adnexal cysts associated with mildly increased volume of complex free fluid in the cul de sac, most c/w leakage from the identified cyst. Advise 6 week follup for resolution. Small complex left ovarian follicle or cyst. Advise 6 week follup for resolution. Complex right adnexal mass with features c/w cystic teratoma or dermoid cyst. Advise 3-month follow-up exam in 3 months for stability.

GI dr. then ordered CT scan 10/26. Results: There are multiple low-density liver lesions between 1-2 mm that do not enhance on delayed images consistent with small cysts. There is a 5 mm enhancing lesion on the right heptatic lobe segment consistent with a hemangioma.
There is a 4X2.7 cm right adnexal mass which contains coarse calcifications consistent with a mature cystic teratoma. Moderate amount of free pelvic ascites.

Followed up w/ GYN; have another US on 12/8. I'm very worried (GI dr prescribed meds for my obvious anxiety); am having some general pelvic pain. Any thoughts about treatment plan (laparascopy/MRI?) and about significance of free pelvic fluid?
Related Discussions
242604 tn?1328124825
Hi There,
It sounds like you are having a good and careful evaluation. I agree with a follow up ultrasound. Most free fluid comes from  ruptured ovarian cysts. The fluid gets absorbed. If pain, cysts, and fluid persist, that is a good indication to take a look by laparoscopy
best wishes to you
Blank
Continue discussion Blank
Blank
Request an Appointment
Blank
Chemotherapy Tracker
Chemotherapy Tracker
Start Tracking Now
Blank
Ovulation Tracker
Ovulation Tracker
Start Tracking Now