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26yr old with Suspicious Ovarian mass
I went to the doctor for infertility issues and after the ultrasounds was told I have 2 cysts. Had 2 MRI's and they havent been able to rule out malignancy so Im being sent to a obgyn in a few weeks but I am really stressed and scared that I have ovarian cancer. Below is a copy of MRI report , is 6cm large or small and if malignancy cannot be ruled out from MRI is this a bad sign meaning most likely it is cancerous? Please anything to help me understand better.
Ultrasound report: Multicystic mass identified in each adnexal region, up to 5.3cm in right and 6cm in left with thickening of septations bilaterally.
A hyperechoic nodule was visualized in the endometrium with flow, 1.1cm suspicious for endometrial polyp.
A small amount of fluid is noted in the cul-de-sac.
MRI:
This is what the report says : Axial T1 water excitation precontrast images were obtained followed by T1 water excitation post gadolinium contrast images in sagittal,axial and coronal planes. Axial subtraction images were also performed.
The recently described lesion in the left adnexa is again noted. There is minimal enhancement of the internal septation. Appearance remains meausuring up to 6cm. Malignancy cannot be excluded.
Previously described follicular activity in the right ovary again noted.
Impression: Previously described apparently cystic thinly septated lesion in left adnexa again noted measuring up to 6cm. This is likely arising from left ovary. appearance suspicious for cystic ovarian neoplasm. Malignancy cannot be excluded.
Ultrasound report: Multicystic mass identified in each adnexal region, up to 5.3cm in right and 6cm in left with thickening of septations bilaterally.
A hyperechoic nodule was visualized in the endometrium with flow, 1.1cm suspicious for endometrial polyp.
A small amount of fluid is noted in the cul-de-sac.
MRI:
This is what the report says : Axial T1 water excitation precontrast images were obtained followed by T1 water excitation post gadolinium contrast images in sagittal,axial and coronal planes. Axial subtraction images were also performed.
The recently described lesion in the left adnexa is again noted. There is minimal enhancement of the internal septation. Appearance remains meausuring up to 6cm. Malignancy cannot be excluded.
Previously described follicular activity in the right ovary again noted.
Impression: Previously described apparently cystic thinly septated lesion in left adnexa again noted measuring up to 6cm. This is likely arising from left ovary. appearance suspicious for cystic ovarian neoplasm. Malignancy cannot be excluded.
Best Answer
Hi Melissa, I am in a very similar situation as you are; I have a complex ovarian cyst (right) which is "suspicious for malignancy", and I am scheduled to have surgery on June 23rd so they can take it out and look at it and do whatever they need to do. Are you going to see a regular gyn, or a gyn oncologist? B/c that's what I did - went to see the oncologist and by the time I left I had a VERY clear understanding of the whole process and the plan. How old are you?
2 Comments
Any update on this? I am having the same issues.
Any update on this? I am having the same issues.
COMMUNITY LEADER
Sorry you are dealing with this! MOST ovarian cysts are benign including ones that look suspicious. If you do not have a genetic predisposition for ovarian cancer then your lifetime chances of getting it are very slim (less than 2%).
I had a similar cyst although mine was larger - 9.5cm. It had some solid matter and some septations. Characteristics that are concerning are thick walls, thick septations, solid components, "finger-like" projections, ascites. But again, even cysts that look suspicious are usually benign.
Endometrial polyps are almost always benign too but they can cause abnormal bleeding. They can be easily "snipped off" if they are causing symptoms.
I thought complex cysts did not go away on their own but I have read of cases where they have but that is probably rare.
I ended up being over-treated and harmed. My gynecologist should have just removed the cyst (or the one ovary) and then sewed me back up when the frozen section biopsy came back benign. But instead he continued removing parts (other ovary, both tubes, and uterus).
Removing just the cysts (cystectomy) is preferable so as not to compromise ovarian hormone production (regardless of whether or not fertility is desired). The ovaries and uterus have lifelong, non-reproductive functions (anatomical, skeletal, hormonal, and sexual). And with the possibility of cancer (even though it is likely very small), a gynecologic oncologist would be your best bet.
Hope this helps! Please keep us posted.
I had a similar cyst although mine was larger - 9.5cm. It had some solid matter and some septations. Characteristics that are concerning are thick walls, thick septations, solid components, "finger-like" projections, ascites. But again, even cysts that look suspicious are usually benign.
Endometrial polyps are almost always benign too but they can cause abnormal bleeding. They can be easily "snipped off" if they are causing symptoms.
I thought complex cysts did not go away on their own but I have read of cases where they have but that is probably rare.
I ended up being over-treated and harmed. My gynecologist should have just removed the cyst (or the one ovary) and then sewed me back up when the frozen section biopsy came back benign. But instead he continued removing parts (other ovary, both tubes, and uterus).
Removing just the cysts (cystectomy) is preferable so as not to compromise ovarian hormone production (regardless of whether or not fertility is desired). The ovaries and uterus have lifelong, non-reproductive functions (anatomical, skeletal, hormonal, and sexual). And with the possibility of cancer (even though it is likely very small), a gynecologic oncologist would be your best bet.
Hope this helps! Please keep us posted.
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