adnexal cyst what is it?

[thinkingstraight]

i was called in to my dr office today, my test results came back, positive with a adnexal cyst measuring 4.9x2.1x3.3cm my ovary measures 4.9x2.6x39cm what does this mean and what should i ask for from my Dr. as far as more test or second opinion?

[thinkingstraight]

thank you again, you really help me keep call, i wish you all the best with your results, i did go for CT scan last Friday, my results should be in by Tuesday ....keeping my fingers cross and praying for us both....

[Rechellef]

I too have a retroverted uterus - it just means it tips towards your back.  About 30-40% of women have this and this is nothing to worry about at all.

[Rechellef]

Are they going to follow up with any additional imaging or bloodwork?  I cannot translate everything else mentioned in the report, but generally with a sepated complex ovarian cyst, they will follow up with a another T/V ultrasound about 4 weeks later to keep an eye on the size of the cyst or a CT scan and will also perform a test called a CA-125 (which is high inaccurate, so I don't know why they do it) which tests for protiens that endometriosis and various cancers produce.  I will know the results of my CA-125 today and have my follow-up ultrasound on the 15th.  I am not expecting very accurate results from the bloodwork because I have had endometriosis before and it can throw the test results off.  I also will be able to at least discuss the full report on my complex cyst today as well since I only got a phone call and have not seen the report.

I am curious as to whether or not you are having a follow up visit and if so, what they say.

[thinkingstraight]

the cyst is septated no idea what that means

[thinkingstraight]

thank you for responding, I really appreciate you taking the time, and yes i meant to put the 3.9cm. he also told me that on the trans-vaginal imaging there is a central hypo-echoic cystic region seen measuring 15.0x13.0x18.0mm within the endometrial canal region and some minimal complex echogenicity also seen in the cystic lesion. my uterus is retroverted in possition am writing what is in the test result.  can this be caused by a novacure surgery or a mesh surgery i had done a year ago. am very concerned  

[Rechellef]

Adnexal merely refers to the location of the cyst and not the nature.  Normal, functional cysts are in the adnexa area and these are cysts that are produced when you ovulate and generally go away in a few weeks.  What is most important is the nature of the cysts, especially if there are solid compenents, or septums (divisions) to the cyst, but even then, the possibility of the cyst being cancerous are very very very low. If you are NOT post-menopausal and the cysts is fluid in nature only, your Dr. may only re-examine you in a few weeks to monitor the cyst.  This is not to say that the cyst may not be removed if it continues to cause you problems or grows, your GYN may do a simple laproscopic procedure to remove or drain it.  

Also, did you mean to post that your ovary was 39cm or did you mean 3.9cm.  If you meant 3.9cm, then your ovaries are just a tiny bit larger than normal (normal size averages 2-3cm x 2-3cm) unless you were ovulating in which case they would be larger?  39 cm would be about the size of a football and your Dr. would have been concerned right away if that were the case.

I hope you find out what's going on, because having a painful cyst is no fun.