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Enlarging adnexal lesion
I just had a baby 5 months ago via c-section and have been having pain under my left ribcage so have had two catscans in the past month. Here is what they found in the last one...
The uterus appears bulky, with an enlarging adnexal lesion particularly on the right which currently measures 5.4 x 3.5cm and is septated in appearance (previous measurement 2.2 x 1.7cm). This could represent a complex or hemorrhagic cyst. They left ovary demonstrates a small complex lesion measurin 2cm.
The appearance of the uterus with bilateral complex adnexal lesions, right greater than left, increasing in size compared to previous scan. These could represent hemorrhagic or complex ovarian cysts. Follow-up on ultrasound at a different time within cycle recommended to ensure resolution.
I used to have very heavy, painful and long cycles before I had a baby...but they have actually shortened by a few days and the cramps are much less. It is still heavy, but that has always been normal for me.
I am worried about ovarian cancer since they are labeled as complex cysts, and freaked out about the right one growing. Anyone had a similar problem??
I go for an ultrasound next week...
The uterus appears bulky, with an enlarging adnexal lesion particularly on the right which currently measures 5.4 x 3.5cm and is septated in appearance (previous measurement 2.2 x 1.7cm). This could represent a complex or hemorrhagic cyst. They left ovary demonstrates a small complex lesion measurin 2cm.
The appearance of the uterus with bilateral complex adnexal lesions, right greater than left, increasing in size compared to previous scan. These could represent hemorrhagic or complex ovarian cysts. Follow-up on ultrasound at a different time within cycle recommended to ensure resolution.
I used to have very heavy, painful and long cycles before I had a baby...but they have actually shortened by a few days and the cramps are much less. It is still heavy, but that has always been normal for me.
I am worried about ovarian cancer since they are labeled as complex cysts, and freaked out about the right one growing. Anyone had a similar problem??
I go for an ultrasound next week...
Thanks for all the info! I have my ultrasound tomorrow morning and have my period right now so hoping they went down and look ok. Just found out I have to have my gallbladder out today, so don't want any more surgery. Happy Holidays!
VAN
VAN
I had my surgery roughly three weeks after the completion of my tests (ultrasounds, bloodwork.) In other words, I had my surgery roughly five weeks after my first appointment with my doctor regarding my symptoms.
The ultrasound report listed three possible diagnoses for my ovarian mass. The first was an endometrioma, the second was a dermoid, and the third was non-specific ovarian neoplasm (meaning a growth.) Obviously, unless there are other signs that truly indicate cancer, then no complete diagnosis can be made until surgery. My doctor believed that the cyst would be an endometrioma, as indicated in the ultrasound, and she was correct. However, there were concerns that it might be cancer, and precautions were made, such as testing in the surgical ward and sending the tissues to the pathologist.
The ultrasound report listed three possible diagnoses for my ovarian mass. The first was an endometrioma, the second was a dermoid, and the third was non-specific ovarian neoplasm (meaning a growth.) Obviously, unless there are other signs that truly indicate cancer, then no complete diagnosis can be made until surgery. My doctor believed that the cyst would be an endometrioma, as indicated in the ultrasound, and she was correct. However, there were concerns that it might be cancer, and precautions were made, such as testing in the surgical ward and sending the tissues to the pathologist.
Thanks for the info. Did they do your surgery right away after finding the complex cyst? Were they worried that it was OC because of the way it looked?
VAN
VAN
My dr wants me to go for an ultrasound with my OBGYN, so have one scheduled a week from tomorrow. No, I have never been diagnosed with endometriosis. In the past two years, I had one miscarriage and one birth. How can they diagnose endometriosis? THANKS!
VAN
VAN
Usually, a gyn will make a diagnosis of endometriosis based on the symptoms reported by the patient. However, it is my understanding that to truly diagnose the condition and determine its full extent would require explorative surgery. As I had not suffered from any symptoms of the condition, it was a surprise to learn that I had it. The adhesions in my abdomen were both old and new, so I had the condition for many years.
We did not make any effort to save the ovary. I wanted it OUT if it was going to be doing things like that! However, before my surgery, my doctor believed that the ovary could likely be saved. At surgery, it was obvious that the ovary as well as the fallopian tube were terribly damaged by the large cyst, and would have required removal anyway.
If preserving your ovary is important to you, then do explain this desire to your doctor. Just remember that there is no guarantee that your request can be met, as the condition of the ovary cannot be determined until the surgery.
Also, if one ovary must be removed then please remember that you shoud still be able to normally conceive a child as long as you have one healthy ovary. The loss of one ovary is estimated to reduce the chances of conception by only 20 percent. I know several women who lost one ovary to cysts or other conditions, and these women were later able to have children without fertility problems.
We did not make any effort to save the ovary. I wanted it OUT if it was going to be doing things like that! However, before my surgery, my doctor believed that the ovary could likely be saved. At surgery, it was obvious that the ovary as well as the fallopian tube were terribly damaged by the large cyst, and would have required removal anyway.
If preserving your ovary is important to you, then do explain this desire to your doctor. Just remember that there is no guarantee that your request can be met, as the condition of the ovary cannot be determined until the surgery.
Also, if one ovary must be removed then please remember that you shoud still be able to normally conceive a child as long as you have one healthy ovary. The loss of one ovary is estimated to reduce the chances of conception by only 20 percent. I know several women who lost one ovary to cysts or other conditions, and these women were later able to have children without fertility problems.
Yes, I had a similar situation last year in that I had a rapidly growing "complex cyst with solid components" on my left ovary. At surgery, the cyst was found to be an endometrioma, and the surgeon also discovered that I have a terrible case of endometriosis, even though I have not had symptoms of that condition.
Your history of long or heavy periods with strong cramping makes me believe that you might have endometriosis. Have you ever been diagnosed with the condition? It is possible that you have endometriomas growing on your ovaries. These are (usually) complex cysts that fill with endometrial tissue, and thus they more or less grow with each monthly cycle and can grow quite rapidly.
Has your doctor discussed what your next step will be?
Your history of long or heavy periods with strong cramping makes me believe that you might have endometriosis. Have you ever been diagnosed with the condition? It is possible that you have endometriomas growing on your ovaries. These are (usually) complex cysts that fill with endometrial tissue, and thus they more or less grow with each monthly cycle and can grow quite rapidly.
Has your doctor discussed what your next step will be?
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