Help/advice please

[dreamfish]

Please can anyone shed any light on my ultrasound report as I am very worried. I am almost 52 have not had children.

Report: The uterous is anteverted and measures 4cm in AP diameter. A small 0.8 x0.5x0.8 cm fibroid was noted posteriorly.

The endometrium m easures 6.7 mm in AP diameter.

The Right ovary measures 2.6 x1.3x1.1 and there is a 5.0x2.0 cystic structure adjacent to this ovary.  low reflectivity echoes and thick septations are seen within it making this likely to be a hydrosalpinx rather than a complex cyst.

The Left ovary measures 3.3x1.5x1.4cm. Two cystic structures were noted adjacent to the left ovary.  One measures 4.0x2.5x3.3cm and may be a cyst.  
The second 4.2x2.5cm has an odd shape and given the appearances on the right may be a hydrosalpinx.  No free fluid noted.

Conclusion:  Probable bilateral hydrosalpinx and a possible left cyst.
Gynaecological referral may be helpful.

I am very worried, can anyone translate/advise on this?
Thank you

[Annekathryn Goodman, M.D.]

Thank you for the information Anita,
I hope your appointment went well
best wishes

[Annekathryn Goodman, M.D.]

Dear Dreamfish
thank you so much for your information.
There are two issues here:
your family history of cancer
the ultrasound findings

Do you know what kind of cancer your mother had? Was it breast? or something in the abdomen.  At age 50, some of these cancers can be hereditary. That might change recommendations for screening for you. For instance, if she had ovarian cancer, you should consider the surgical, prophylactic removal of your ovaries.
If it was colon cancer, you should start getting colonoscopies and so on

as far as the ultrasound findings:
your uterus is normal
the hydrosalpinges means that you have fluid in the fallopian tubes.  That can happen after an infection that scars the tubes. Infections can occur from certain sexually transmitted infections such as Chlamydia, or IUD use, or an infection after childbirth.

They are usually benign .I agree with the reassurance that your GP has given you. Thick septations in a fallopian tube does not necessarily mean anything as the tubes are long and twisty.

However,I would recommend at least a surgery to look at the ovaries and tubes that is called a laparoscopy.  It may be that if you had an old infection, there is alot of scar tissue . Sometimes this can cause pain. That maybe a reason for a full hysterectomy (removal of the uteurs, ovaries, fallopian tubes.)
Could this be a malignancy? Yes it is possible ,although most cysts are benign. But that is another reason to take a surgical peek.

It would also be useful to find out if you have ever had a previous ultrasound. If so, was this present before?

please let us know happens
take care

[Annekathryn Goodman, M.D.]

great
keep us posted
best wishes

[dreamfish]

Thank you AK.

The locum I saw suggested a repeat ultrasound and return appointment for June.
He says the CA125 was only marginally raised.
Therefore I await the follow up in June.

Best wishes
Anita

[dreamfish]

I forgot to mention that I had an ultrasound done once before around 10yrs ago.  The reason for seeking help in  the first place is due to a very distressing facial hair problem which has not been resolved.  I had hoped we could put it down to PCOS, but have been told this is not the case.

My fathers half sister died of ovarian cancer a couple of years ago in her late50's.

[dreamfish]

Thank you for taking the time and trouble to reply. It is such a relief to know that someone is listening to me.

My mother's death certificate states Metastatic Colorectal Carcinoma.  She became ill at 50 or earlier and died at 58.

In view of this I had a colonoscopy two years ago and nothing was found. (although that was initially the case with her too).

I had over 30 yrs ago, and IUD fitted which caused me numerous infections and hoptial admissions with collapsing with pain and peritonitis. After discharge from hospital i had a miscarriage.  As it was stated at one of the hospitals, I had a blockage in the tubes, I assume an ectopic pregnancy.

I have only just mentioned this to my GP who has added to my notes.  She thought that I would probably have a laparoscopy.

So far, I have been offered an out patient appt with a gynaecologist on Mar 5.  
As I am now in some discomfort and have read on this site about gynae/onc I am worried and wondering what questions to ask at this appt to ensure I get the quickest and most appropriate treatment.

Any further advice would be welcome and thanks so much for your time.  It has been an long anxious wait for this upcoming appt and very scary.

Many thanks Anita

[dreamfish]

I have now received an outpatients appt at the hospital Mar 4. This appears to be a regular gynae, not oncologist appt.

I am extremely anxious and cant sleep as given my family history and my symptoms, I feel there is more concern than anyone is acknowledging. My Gp says the report is not bad, but researching thick septations suggest otherwise.  I have tried to see my doctor but she is not available until Mar 8, after my hospital appt.

Would anyone please answer my query if they can with any advice/and or reassurance.  Thank you

[dreamfish]

I would like to add that my mother had cancer at 50 and died at 58. She didnt drink or smoke and led a healthy life but somehow got bowel cancer which later spread to other organs.  Several female relations died young but not of cancer.