do I have ovarian cancer? What should I do ?

[divine_caroline]

I just received my Transvaginal ultrasound... please help me with interpreting this? Thank you so much.
Uterous: the following myometrial masses  are seen: M1 is postero fundal submucous mass that measures 15x18x2cm,M2 is lower posterior subserous that measures 1.3x0.8x1.1cm
endometrium is single and has thickness of 1.4 cm, is hyperechoic, with intact subendometrial halo except at the area of submucuos myoma.
left ovary: transformed into a unilocular cystic mass that measures 3.7x3.2x3.4cm with uniform low level echoes within.
impression: anteverted uterus with yoma, subserous and submucuos
intact endometrium in the late secretory phase
ovarian cyst consider endometrial cyst
bilateral pelvic adhesions, probably secondary to endometriosis

[Crashmouth]

Tubo-ovarian abscess is an advanced form of pelvic inflammatory disease most often caused by spread of bacteria from the lower genital tract. (The most common bacterial pathogens are anaerobic.) Risk factors for pelvic inflammatory disease include those associated with increased risk of contracting a sexually transmitted disease: early age of first sexual encounter, multiple sexual partners, history of sexually transmitted disease, and douching. In addition, women using IUDs are at increased risk for pelvic inflammatory disease and tubo-ovarian abscess. Diverticulitis and appendicitis are also potential causes.

Source: http://brighamrad.harvard.edu/Cases/bwh/hcache/206/full.html
*Harvard University*

[momcat73]

My hubby and I went to my doctor together. I am just wondering why my doctor required my husband to have URINALYSIS too. He physically examined him too (check genitals-normal/clear so far). He also asked him if he had any other sexual partner/s (none according to my hubby).

What causes tubo-ovarian complex mass? Is this some form of a sexually-transmitted disease? Do I have it? Is it possible to have STD even if result of his urinalysis is normal?

Ectopic pregnancy was also ruled out (negative pregnancy test).

Please help. Thank you.

[momcat73]

Can anyone please help me interpret the result of my transvaginal ultrasound? Result of my URINALYSIS is normal and so is my husband's. I'm taking CIPROFLAXIN 500mg (3x a day for 5 days, 2x a day for 2 days) and FLAGYL 500mg (3x a day for 5 days).

Thank you very much.

Uterus:
length 53mm
width 43
height 42

Cervix 25 x 23mm

Endometrium
Thickness 13mm

Ovaries
right
   length  37mm
   width  25
   height 15

Remarks:
Small, anteverted uterus with a secretory phase endometrial lining.
No endometrial mass is seen.
The right ovary is small.
There is a complex mass on the left adnexal area measuring 38 x25 x36mm, highly vascular, part of the complex mass is a tubulocystic mass measuring 30 x 26 x 26mm with low level internal echoes.
No free fluid.

Impression:
TUBO-OVARIAN COMPLEX MASS PROBABLY INFECTIOUS

[Casey06]

All the medical terminology used by med imaging people can be very scary.

The uterous findings may be related to a benign condition called adenomyosis:
{Adenomyosis is a medical condition characterized by the presence of ectopic endometrial tissue (the inner lining of the uterus) within the myometrium (the thick, muscular layer of the uterus). The condition is typically found in women between the ages of 35 and 50. Patients with adenomyosis can have painful and/or profuse menses (dysmenorrhea & menorrhagia, respectively).
Adenomyosis may involve the uterus focally, creating an adenomyoma, or diffusely. With diffuse involvement, the uterus becomes bulky and heavier.}

The cyst on the left ovary is indicated as endomerioma and you also appear to have endometriosis (again a benign condition, although very painful for some) in other areas of pelvis.

{Endometriosis is a common medical condition characterized by growth of tissue like endometrium, the lining of the uterus, beyond or outside the uterus. Affecting an estimated 89 million women (usually around 30 to 40 years of age who have never been pregnant before) of reproductive age around the world, one in every 5 females get endometriosis. However, endometriosis can occur very rarely in postmenopausal women. An estimated 2%-4% of endometriosis cases are diagnosed in the postmenopausal period. In endometriosis, the endometrium (from endo, "inside", and metra, "womb") is found to be growing outside the uterus, on or in other areas of the body. Normally, the endometrium is shed each month during the menstrual cycle; however, in endometriosis, the misplaced endometrium is usually unable to exit the body. The endometriotic tissues still detach and bleed, but the result is far different: internal bleeding, degenerated blood and tissue shedding, inflammation of the surrounding areas, pain, and formation of scar tissue may result. In addition, depending on the location of the growths, interference with the normal function of the bowel, bladder, small intestines and other organs within the pelvic cavity can occur.}

You should schedule an appointment to review the results with your doctor. Have him or her explain it line by line.

The only way to confirm endometriosis (or rule out another condition such as cancer) is by surgery.
Your doctor may offer to do a laproscopic procedure to confim and possibly remove endo (if this is the diagnosis). I am not sure of treatment for Adenomyosis.

Ovarian cancer is pretty rare and it doesn't appear that you have it.

You do need follow-up though. Hoepfully your doctor will initiate it, but if he doesn't, you need to.