4.6cm solid cyst inc. possible clot - Help to understand please?

[katebrighteyes]

Hello, I am new here and I am looking forward to reading your stories and being part of the community. Admittedly, I have lurked :) I'm 21 and I've just been told that my left ovary contains a 4.6cm solid cyst and that although I am having similar pain on my right side it 'looks to be ok' but the transvaginal ultrasound was hindered by a mobile uterus apparently. I've been referred to an nhs gynae and the time is apparently 2 weeks.

Could someone help to understand the implications at this stage? This is the scan report:

"Left ovary contains unilocular, solid, anechoic, avascular cyst (46 x 31 x 40 mm). Within posterior wall is a solitary papillation measuring 5 x 5 x 4 mm, no vascularity demonstrated. This may represent a retracting clot."

It states no suspicious features could be observed but I was wondering what the scan actually means and how common solid cysts are and whether they can just disappear too?

Sorry for the ramble and thanks in advance :D

[GYNsymptoms]

A retracting clot is the shrinking of a blood clot so that is a good thing. If you want the cyst out, do it.  It is your body.  It seems your appt is in one more week they could check things again and see if there are any changes.

[katebrighteyes]

And is a retracting clot anything that will be worrying? I think I just want it out, I'm in alot of pain and I'm having horrible breakthrough bleeds even though I'm on the pill. I don't believe it will go down itself so I just want it gone! I want to protect my fertility.

[GYNsymptoms]

Hi, papillation just describes the look of it (a small nipple-like projection).  Mass, tumor and cyst are interchangable.  Mine was called a mass at one ultrasound (6cm) and a cyst at the gyn's office.  The "solid" part of it could very well be a collection of blood.

[katebrighteyes]

Thanks for the reply - it means alot. An NHS Gynae is just a Consultant Gynaecologist. I just meant it was NHS waiting list that I am currently working with,

THanks for your explanation regarding the mass/tumour thing.

I suppose I do have to wait until I speak to an expect but hearing about others experiences do make things easier.

[jbesmom]

I don't know the answers to your question, but my sonographer said during my US, "I don't want to say 'mass' cause that sounds bad..." She called it a complex cyst, but I think mass and tumor are accurate too, just people tend to think cancer when they hear that, and at this point, that is not what the drs suspect.  

What is a nhs gynae? Have you only seen a GP at this point? I would definitely stay on top of things and try to make sure I got seen by the proper drs as soon as possible, not because I think there is something terribly wrong, but because not knowing is extremely stressful. Also, my drs have been able to check my ovaries easily with abdominal US's, I haven't needed either the vaginal US's or an MRI.  Good luck to you.

[katebrighteyes]

Thank you so much for your reply. I have a few more questions but you may not be able to help - I understand everyone is different. I just wondered why my report says 'solid cyst' when it's seemingly more commonly referred to as a tumour/mass?

Also, what is a papillation?

No one seems that concerned about me to be honest, the GP isnt that concerned but obviously I am a little concerned. The pain is the worst bit. However the doctors keep saying Im 21 and shouldnt be a problem!

[Sanjivani Wanjari, MD]

HI,
Solid tumours are uncommon and less likely to regress spontaneously. Also the tumour contains papillation. Hence a further assessment with the help of CT scan and a biopsy may be necessary. Consult a gynaecologist for an evaluation.
Hope this helps.