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Ultrasound Indicate Ovarian Cancer?
Hello Dr. I just received this ultrasound report and am currently awaiting scheduling of a CT scan. In the meantime, I have referenced as much information as I can on this report and understand it to imply the possibility of ovarian cancer. I am 46 years old with a history of ovarian cysts and fibroid tumors (3 prior surgeries for both), and over the past couple of years have experienced many worsening symptoms that have been blamed on other conditions, fatigue, anemia, frequent urination, extreme pelvic pain & pressure, loss of appetite (without loss of weight as I eat whether I want to or not since I am constantly fighting to keep my blood count up), etc., that I have found to be symptoms of ovarian cancer. I know that some of these symptoms can be caused by the other conditions mentioned here, but am specifically concerned about the likelihood of ovarian cancer based on this report. I know this forum is for ovarian cancer only but have included the entire report for reference. I understand the aspects of it related to fibroid tumors, but do not completely understand the impressions related to the ovaries and possibility of ovarian cancer and that is what I am seeking help with. I am also interested to know what a CT scan report will show related to cancer that the ultrasound will not, aside from whether there is any spread to other organs. Thank you very much for your time.
TRANSVAGINAL & TRANSABDOMINAL PELVIC ULTRASOUND
The uterus is enlarged and lobulated in contour and diffusely inhomogeneous and measured approximately 15.6 cm in length x 7.2 cm in its AP diameter x 9.7 cm in its transverse diameter. Multiple rounded hypoehoic lesions were noted of the uterine body, the largest measuring approximately 5.6 cm. There is a pedunculated leiomyoma of the uterine fundus measuring 3.6 cm in its largest diameter. Smaller anterior uterine body leiomyoma measuring 2.8 cm was identified. There is buckling of the endometrium which measured approximately 8mm in thickness. There are small cervical nabothian cysts. There is a small amount of free cul-de-sac fluid.
The right ovary is asymmetrically larger than the left and demonstrates diffuse inhomogeneity and hypoechoic areas. This measured approximately 5.3 x 4.1 x 5.2 cm and the left ovary 3.2 x 1.8 x 2.6 cm. There are follicular cysts demonstrated of the left ovary, the largest measuring 1.6 cm. However, given the irregularity and assymmetrically larger right ovary with inhomogeneity the possibility of neoplasm is not completely excluded. There is an equivocal 3.3 cm mass.
IMPRESSION:
1) Lobulated inhomogeneous uterus containing multiple hypoechoic lesions, the largest measuring 5.6 cm consistent with leiomyomas.
2) Small cervical nabothian cysts.
3) Asymmetrically inhomogeneous larger right ovary with an equivocal 3.3 cm mass.
4) Small amount of cul-de-sac fluid.
RECOMMENDATION:
Follow-up CT scan of the abdomen and pelvis may be helpful for further correlation.
TRANSVAGINAL & TRANSABDOMINAL PELVIC ULTRASOUND
The uterus is enlarged and lobulated in contour and diffusely inhomogeneous and measured approximately 15.6 cm in length x 7.2 cm in its AP diameter x 9.7 cm in its transverse diameter. Multiple rounded hypoehoic lesions were noted of the uterine body, the largest measuring approximately 5.6 cm. There is a pedunculated leiomyoma of the uterine fundus measuring 3.6 cm in its largest diameter. Smaller anterior uterine body leiomyoma measuring 2.8 cm was identified. There is buckling of the endometrium which measured approximately 8mm in thickness. There are small cervical nabothian cysts. There is a small amount of free cul-de-sac fluid.
The right ovary is asymmetrically larger than the left and demonstrates diffuse inhomogeneity and hypoechoic areas. This measured approximately 5.3 x 4.1 x 5.2 cm and the left ovary 3.2 x 1.8 x 2.6 cm. There are follicular cysts demonstrated of the left ovary, the largest measuring 1.6 cm. However, given the irregularity and assymmetrically larger right ovary with inhomogeneity the possibility of neoplasm is not completely excluded. There is an equivocal 3.3 cm mass.
IMPRESSION:
1) Lobulated inhomogeneous uterus containing multiple hypoechoic lesions, the largest measuring 5.6 cm consistent with leiomyomas.
2) Small cervical nabothian cysts.
3) Asymmetrically inhomogeneous larger right ovary with an equivocal 3.3 cm mass.
4) Small amount of cul-de-sac fluid.
RECOMMENDATION:
Follow-up CT scan of the abdomen and pelvis may be helpful for further correlation.
You need to post this for the Doctor this is the general forum You will find that site at the top of the page under open forum
I know! I thought that was where I was posting and now I can't find how to delete this.
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