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Complex Ovarian Cyst
by ashlyhb, Jan 23, 2008 08:30AM
I am a 30 year old female and recently had an TVUltrasound. On the ultrasound they found a 3.9 CM anechoic lesion within my right ovary. It has internal septation and areas of nodularity. Everytime I look this up it points to ovarian cancer as my yearly exam came back normal in Aug 2007. Should the Doctor have not been able to feel an ovary that is 2 times the size it is supposed to be. The ultrasound also showed a 1CM Hypoechoic lesion in the left ovary. Im not sure what all this means but it doesnt sound so good. Any advice would be greatly appreciated. I go see a new GNY next week and am fearing he will say the C word. Thanks ahead of time for your response.
Ashley
Ashley
Member Comments (1)
by Fernando Roque, MD, Jan 23, 2008 08:30PM
, Jan 23, 2008 08:30PMTo: ashlyhb
Hi. The ovaries are located deep inside the abdomen and it is not possible for the doctor to feel for it until it has become very enlarged. So it's really not your doctor's fault that he wasn't able to detect that ovarian cyst earlier. The only way to know for certain if that cyst is cancer is to either biopsy it or excise it and examine it under a microscope. There are some blood tests (example: CA-125) that can be done which, if elevated, would hint at a possible malignancy. However, these tumor markers only suggest a diagnosis of cancer; they do not provide definite proof. Only a biopsy can do that. So at this point, we don't know if that ovarian cyst is malignant or not. There are various other non-cancerous causes of ovarian cysts, and these all have to be ruled out before a diagnosis of cancer is considered.
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