Results - I don't understand

[shooter690]

My uterus was removed about 4 years ago, leaving just the ovaries, a couple of weeks ago I went to my doctors, because I felt very bloated and my eating habits haven't changed.  I excise and was gaining weight, she ordered a ultrasound, and I received a call that they found a mass and would have to go for an MRI.  My question, can someone explain with this means from the results.
Findings: In the left adnexa, there is a mixed cystic and solid mass measuring 14 x 11 x 5 cm with no internal vascularity. There is a thickened septum in the middle with the adjacent acentric solid component inferiorly with hyperechoic rim.  There are adjacent smaller cysts as well.  There is no free fluid in the cul-de-sac. What does this all mean.
Impressions:  Left adnexal complex cystic mass may be of ovarian etiology and is suspicisiou of ovarian neoplasm until proven otherwise -  I don't understand...
Can someone explain

[Jane39]

Please be sure to consult with a gyn/oncologist, that is so very important.  Alot of regular OB's will make you feel comfortable with them removing the mass, please do not let them do this!!  

You only have one chance in getting this right.  I don't mean to scare you, because I know you already are, but that's why we are stressing certain points.  You can get information from your OB, but get the referral to the gyn/oncologist or make the appt now, if your insurance allows.  You can also get copies of the report and copies of the films directly fom the radiology place as well.

Wishing you the best.  Please keep us updated.

Jane

[shooter690]

It was my PCP who requested the MRI, those results above are from an ultrasound, I'm very scared because all the said is that I have a mass, and that I need to go for an MRI and to follow up with my OB.

Thank you so much for repling..I really do appreciate it.

[gah_70]

You have a mass that has no internal blood flow. It is part solid, and part fluid, and those parts are separated by a thickened wall (septum...like your nostrils are separated by the septum of your nose).  There are smaller cysts adjacent.  

The important thing to remember here is the Radiologist who read the MRI is NOT an Oncologist.  Therefore, the part about being suspicious for ovarian neoplasm until proven otherwise is just his/her way of saying, "I don't know for sure what this is, but to be safe, the patient should have this tested further,"  That is NOT saying it is cancer, but it is saying the chance is there.  I know you're scared, so the best thing you can do is go back to your doctor for more information.  Was it your GYN or PCP who sent you for the MRI? No matter who it was, now is the time to explore further with a Gynecological Oncologist. That may be a scary thought, too, but the mass is large enough that it needs to be removed.  Since you cannot know until surgery if it is malignant or not, a GYN/ONC needs to be the one who removes it.  They are specially trained (at least 3 additional years) in removing cancer of the reproductive organs, and this is something on which you don't want to take a chance.

When is your next appointment? Feel free to come back here and ask any questions.  This is a group of ladies who are very willing to help you along this jouney.

Gail