Will someone respond to my question about my Ultrasound results?

[TBaker]

How do I get someone to answer my question?

The results of my ultrasound are as follows.  Can someone tell me what this means:

Transabdomial:
Uterus is mildly enlarged measuring 10.0 x 4.5 x 5.2 cm.  No contour deforming fiborids indentified.  Endometrial echoes apprear grossly unremarkable.  No cysitc mass demonstrated.

Transvaginal:
There are numerous nabothian cysts in the cervix.  The endometrial echoes measure 9mm in thickness with a hetergeneous appearance.  No discrete measurable focal abnormality in the endometrium.  Mymetrium is grossly unremarkable with no focal fibroids.

The right and left ovaries measure 4.4 x 2.5 x 2.1 cm and 2.8 x 2.1 x 2.1 cm.  There is a complex cystic lesion in the right ovary corresponding to the partial involution of a corpus leteum cyst.  No free fluid in the pelvis.

My Dr sent me for the ultrasound to rule out ovarian cancer due to my symptoms and past use of clomid.  Anything I need to worry about?

[tooter1]

i am 17 and i had an ultra sound because the doctor wanted to check my ovaries. my ovaries were fine but she said the lining of my uterus is thicker than normal? why is that? i know that it is common im women going through menopause, but thats not my case. Does this mean i have cancer? And im pretty sure im not pregnant either, even though i did have intercourse about 2 or 3 days before the test was done. Will you please help me with my question, it will be greatli apprechated.
Thanks

[aveach]

I know exactly how you feel.  Your results are similar to mine.  My uterus is 9mm thick & I have a cyst on my left ovary. Dr said the cyst is usually normal for the time of the month I was in, but will be watched.  I have had the transvag. & regular ultrasound.  Nothing showed up in either one except  the interior of my uterus was solid white, &thw white was thick. I am now awaiting the results of my 3rd pap.  The last two came back abnormal. Currently taking 10mg of Provera for ten days of each month to control the bleeding.

[TBaker]

Thanks for all of your input.  I am waiting to my see Dr., not very patiently though.  Casey06 my symptoms include abdomonal pressure and pain, especially on the right side.

Thanks again --  Have a great day.

[Casey06]

You indicated that your doctor sent you for ultrasound because of your symptoms, what are they?

Also, what did your doctor say about the US results?

Generally the doctor will have you wait about 6 weeks to have another US, to see if the cyst is changing (shrinking or growing, still complex etc.)

As Lisa said, most cysts are benign, so now you need to patiently wait for next US.
If cyst is still there and you are still experiencing symptoms, doctor will probably suggest to have it removed (right ovary). Make sure you find a gynocologic oncologist to do the surgery, if it is indeed necessary.

The waiting is hard, but habg in there and keep us posted.

[Shashi11962]

Hi,

I teach medical terminology, so I'll try to interpret your results.  Ultimately though, you need to contact your doctor for any questions with your ultrasound.

Transabdominal:  Your uterus is a bit enlarged.  If you've ever had children, this is normal.  You don't have any fibroids. The lining of your uterus is normal and you didn't have any cysts in the uterus.

Transvaginal:  You have what are called nabothian cysts in your cervix. They are basically normal, mucous-producing glands which get covered over by the lining tissue of the cervix.  They fill with secretions and form small cysts.  These cysts do not pose any threat to your health and no treatment is required for them.

The interior lining of your uterus is a bit thick and shows a mixture of different types of cells in the lining.  (You probably need to ask your doctor about this one.  Not sure what it might signify.  Could be totally normal.)  The rest of the uterus is normal.

Your ovaries are of normal size.  You have a complex cyst on your right ovary which may have arisen from the corupus luteum.  Each month as you ovulate, the small bubble where the egg grows bursts and the egg is released.  The bubble then becomes a cyst called the corpus luteum which excretes hormones that help maintain pregnancy.  If the egg is not fertilized the corpus luteum shrinks and gradually becomes just a small area on the ovary.  Sometimes the corpus luteum doesn’t shrink and may grow larger, turning into a functional cyst or even a complex cyst.  Complex cysts are so named because they can have divided chambers, thick walls, or solid (instead of liquid) inside of them.  The greatest majority of cysts are benign.  You also don’t have any free fluid in your pelvis.  Free fluid could indicate that the cyst has ruptured and is sometimes a sign of ovarian cancer.

I really don’t think you have anything to worry about, unless the cyst is causing symptoms which are problematic.

Hugs,

Lisa

[alanpvegas]

I'm not sure an ultrasound will rule 'in or out' ovarian cancer.  It needs to be done with other scans and tests, such as ca-125 and ct-scan (best case: pet scan).

a complex cyst can be cancerous (complex is a fancy term for something that could be cancerous).  but they don't know...it needs followup by a gynecologic oncologist.