What should I do? Part 1

[lupette]

I am 54 years old. I have HCV and Hashimotos and was once diagnosed with lupus. Here is my latest US report: COMPARISON: December 1, 2008 and August 12, 2008 FINDINGS: Uterus: Measures 7.9 x 4.3 x 3.6 cm. Two fibriods again identified. One around the right anterior mid body wall measuring 1.6 x 1.1 x 1.7 cm,, previously measuring 1.4 x 0.9 x 1.5 cm. Right anterior mid body fibroid measuring 1.3 x 0.9 x 1.4 cm, previously measuring 1.1 x 0.7 x 1.2 cm. These are not in position to affect the endometrial stripe. No new discrete mass. Stable appearance of the cervical canal mass/ complex cyst slightly to the right currently measuring 2.8 x 2.5 x 2.1 cm, previously measuring 2.5 x 2.0 x 2.9 cm. Development of a new myometrial cyst adjacent to the endometrial around the anterior lower uterine segment measuring 07. x 0.6 x 0.7 cm. Endometrial stripe: The endometrial stripe thickness measures 2.9 mm with trace nonspecific free fluid present. Right ovary: The right ovary measures 4.4 x 4.7 x 2.7 cm. Vascular flow is present by color and power Doppler. Right complex cyst now measures 2.9 x 2.2 x 2.4 cm. previously measuring 3.1 x 2.5 x 2.8 cm.Simple appearing cyst previously measuring 2.9 x 2.3 x 2.9 cm, previously measuring 2.2 x 1.2 x 2.3 cm. Left Ovary: The left ovary measures 3.3 x 2.3 x 2.9 cm. Vascular flow is present by color and power Doppler. Simple appearing cyst within it nowmeasuring 1.8 x 1.1 x 1.8 cm,  previously measuring 3.2 x 2.0 x 1.8 cm. Adnexal:No solid adnexal mass. Free intraperitoneal fluid: None  

[Annekathryn Goodman, M.D.]

Hi There
lots of words in that report!
but nothing really looks hugely abnormal - some fibroids, a few cysts

I personally like to put reports in context of the person.

So if you are having a problem - pain, abnormal bleeding or a strong family history of ovarian cancer, I would treat that report differently than if you told me you had no troubles or if you told me you had a long history of endometriosis
and so on

your choices depending on context include:

repeat scan in 3 to 6 months to check for changes versus surgical intervention if you were having lots of symptoms
best wishes

[lupette]

I was really hoping you would say that! (Yay!)  I can't thank you enough for your time in responding! I feel so much better now. Thank you for doing this and know that it is hugely appreciated!

[lupette]

CONCLUSION: 1) Decreasing right ovarian complex cyst now measuring 2.9 cm. Slight increase of the simple appearing right ovarian cyst now measuring 2.9 cm. 2) Decreasing left ovarian cyst now measuring 1.8 cm. 3) Essentially stable endocervical mass/complex cyst. Consider direct visualization for further evaluation. 4) Essentially stable uterine fibroids as described. 5) Interval development of a 7 mm myometrial cyst adjacent to the endometrium around the anterior lower uterine segment.
Please excuse any typos and thank you in advance for any information or advice you are able to offer. :)