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Wrong Ovary?
by Mikisasha, Jul 14, 2008 07:06PM
I just got back from a visit with my gyno. I'm a little overwhelmed and in need of direction. For simplicity, I'll list events in order of occurrence.
- July 2006 Pelvic examine produces evidence of an ovarian cyst.
- Aug 2006 First Ultra-sound.
- Sept. 2006 Second Ultra-sound. Results: Left adnexal complex mass probably arising from the ovary. It measures up to about 7.5 cm in greatest dimension. I suspect there are at least two cycts or septated cysts accounting for most of it. It may have some internal echoes or debris. The largest compartment measures about 4.6 x 3.7 x 4.0 cm and the smaller one is about 2.0 cm in average diameter. No free fluid or other abnormality. Impression: Complex cystic structure in the left adnexa is not changed much since the last exam. I think it is attached to or arising from the left ovary. There is no increased blood flow in it so I think a tumor is of low probability. Multiple cysts or endometriosis might be considered. I think a hydrosalpinx or pyosalpinx is less likely. Because the prognosis for ovarian tumors is usually bleak, gynecology consult is advised, even though I think a malignant tumor of the ovary is an unlikely cause for the pelvic mass.
- Oct 2006 Saw gynecologist who felt surgeryI just got back from a visit with my gyno. I'm a little overwhelmed and in need of direction. For simplicity, I'll list events in order of occurrence.
- July 2006 Pelvic examine produces evidence of an ovarian cyst.
- Aug 2006 First Ultra-sound.
- Sept. 2006 Second Ultra-sound. Results: Left adnexal complex mass probably arising from the ovary. It measures up to about 7.5 cm in greatest dimension. I suspect there are at least two cycts or septated cysts accounting for most of it. It may have some internal echoes or debris. The largest compartment measures about 4.6 x 3.7 x 4.0 cm and the smaller one is about 2.0 cm in average diameter. No free fluid or other abnormality. Impression: Complex cystic structure in the left adnexa is not changed much since the last exam. I think it is attached to or was required.
- Dec 2006 Had left ovary removed.
- Jan 2007 Had follow-up appointment with gyno who said it was just a simple cyst and next time, we'll wait longer before operating. My immediate response was to feel relief.
- Jun 2008 Regular physical exam. First since surgery. Discovered another mass which required an ultra-sound.
- Jun 2008 Ultra-sound results: The uterus and endometrial lining are within normal limits. There are at least three cystic structures associated with the left ovary. I am not certain whether this is a cluster of cysts or whether it represents a larger cyst with some internal complexity. The largest focal area measuring about 3.8 x 3.4 cm. This does have suggestion of a septation. The additional two hypoechoic structures look simple in appearance. At least one of these is new when compared to the previous. The larger structure, if it is the same structure is difficult to tell with two years interim and probably not charged. The right ovary is not identified. Impression: There are cystic structures in the left adnexa associated with the left ovary. It is not clear whether this represents a large complex cyst or whether there are three smaller cysts closely apposed to each other. Regardless though the largest discrete cystic area does appear to have a septation and although this has probably not grossly changed from the previous I do suggest ongoing follow up.
- June 2008 Follow-up visit to Medical Doctor identified that the wrong ovary was removed during surgery. All questions were to be answered by the gynecologist as he didn't want to get involved.
- July 2008 Visit with gynecologist who suggested that simple cysts come and go. Perhaps what had happened was the simple cyst on the left ovary had disappeared and one the same size developed on the right ovary which is why he took it out. This likely occurred each menstrual period. Or.....possibly the right ovary had flipped over the left, so the sides were confused in the ultra-sound. He said that with my history, surgery was unnecessary and we would continue to monitor it. It should be noted here that I have never seen him previously to these events with any identified cysts. I’ve faithfully had my full physical every year to year and a half since the age of 18. I’m now 50.
So.....this gynecologist is a professional with a good reputation. I'm not sure which way to turn. Maybe he's telling me the truth or maybe he's not. My doctor can't give me his opinion, so does anyone have an opinion or suggestion?
- July 2006 Pelvic examine produces evidence of an ovarian cyst.
- Aug 2006 First Ultra-sound.
- Sept. 2006 Second Ultra-sound. Results: Left adnexal complex mass probably arising from the ovary. It measures up to about 7.5 cm in greatest dimension. I suspect there are at least two cycts or septated cysts accounting for most of it. It may have some internal echoes or debris. The largest compartment measures about 4.6 x 3.7 x 4.0 cm and the smaller one is about 2.0 cm in average diameter. No free fluid or other abnormality. Impression: Complex cystic structure in the left adnexa is not changed much since the last exam. I think it is attached to or arising from the left ovary. There is no increased blood flow in it so I think a tumor is of low probability. Multiple cysts or endometriosis might be considered. I think a hydrosalpinx or pyosalpinx is less likely. Because the prognosis for ovarian tumors is usually bleak, gynecology consult is advised, even though I think a malignant tumor of the ovary is an unlikely cause for the pelvic mass.
- Oct 2006 Saw gynecologist who felt surgeryI just got back from a visit with my gyno. I'm a little overwhelmed and in need of direction. For simplicity, I'll list events in order of occurrence.
- July 2006 Pelvic examine produces evidence of an ovarian cyst.
- Aug 2006 First Ultra-sound.
- Sept. 2006 Second Ultra-sound. Results: Left adnexal complex mass probably arising from the ovary. It measures up to about 7.5 cm in greatest dimension. I suspect there are at least two cycts or septated cysts accounting for most of it. It may have some internal echoes or debris. The largest compartment measures about 4.6 x 3.7 x 4.0 cm and the smaller one is about 2.0 cm in average diameter. No free fluid or other abnormality. Impression: Complex cystic structure in the left adnexa is not changed much since the last exam. I think it is attached to or was required.
- Dec 2006 Had left ovary removed.
- Jan 2007 Had follow-up appointment with gyno who said it was just a simple cyst and next time, we'll wait longer before operating. My immediate response was to feel relief.
- Jun 2008 Regular physical exam. First since surgery. Discovered another mass which required an ultra-sound.
- Jun 2008 Ultra-sound results: The uterus and endometrial lining are within normal limits. There are at least three cystic structures associated with the left ovary. I am not certain whether this is a cluster of cysts or whether it represents a larger cyst with some internal complexity. The largest focal area measuring about 3.8 x 3.4 cm. This does have suggestion of a septation. The additional two hypoechoic structures look simple in appearance. At least one of these is new when compared to the previous. The larger structure, if it is the same structure is difficult to tell with two years interim and probably not charged. The right ovary is not identified. Impression: There are cystic structures in the left adnexa associated with the left ovary. It is not clear whether this represents a large complex cyst or whether there are three smaller cysts closely apposed to each other. Regardless though the largest discrete cystic area does appear to have a septation and although this has probably not grossly changed from the previous I do suggest ongoing follow up.
- June 2008 Follow-up visit to Medical Doctor identified that the wrong ovary was removed during surgery. All questions were to be answered by the gynecologist as he didn't want to get involved.
- July 2008 Visit with gynecologist who suggested that simple cysts come and go. Perhaps what had happened was the simple cyst on the left ovary had disappeared and one the same size developed on the right ovary which is why he took it out. This likely occurred each menstrual period. Or.....possibly the right ovary had flipped over the left, so the sides were confused in the ultra-sound. He said that with my history, surgery was unnecessary and we would continue to monitor it. It should be noted here that I have never seen him previously to these events with any identified cysts. I’ve faithfully had my full physical every year to year and a half since the age of 18. I’m now 50.
So.....this gynecologist is a professional with a good reputation. I'm not sure which way to turn. Maybe he's telling me the truth or maybe he's not. My doctor can't give me his opinion, so does anyone have an opinion or suggestion?
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i too had relatively no female problems until this cyst thing just a month ago !
also did they do a ca 125 0r a brca screen in conjunction with these tests ??
finally some uteri are twisted or tilted and that blurrs the distinction between left and right
hope that helped :)
praying u the best
sharon