Cysts and strange medical terms???

[rebcrom]

Thank you lvfrogs for your reply.  I will answer your question after I re-write my first post... Sorry, I do not know how to add a reply to comments.  But the story is..... I am 39 years old.  I have had infertility problems since my 20s.  Was on infertility treatments for about 5 years.  Got pregnant through IUI on Oct 2003 and gave birth to a beautiful baby girl in June of 04.  During my treatments fibroids and endometriosis were found.  I was told not to worry about the fibroids and the endometriosis was dealt thru a laparoscopy.  This was back in 2001 or 2002.  Have not had any problems until now.  Three weeks ago I started feeling lower left pelvic pain but it felt so similar to constipation pains which I have had almost all my life.  A mass was detected in my lower left quadrant thru a regular pelvic exam.  Did a US and got the results on Tues.  I asked for a copy of the results but the language within is beyond my knowledge.  I am posting this in hopes that someone with more knowledge in this field could translate it into layman terms for me.  The results are as follows:  

(Procedure:  Ultrasound, pelvis.  Transabdominal and endovaginal sonographic evaluation of the pelvis performed.

Findings:  The uterus measures 1.2 x 5.5 x 6.7 cm.  The myometrium is homogeneous in echotexture.  No sonographic evidence for focal area of abnormal echogenicity is seen.  The endometrial stripe is normal in appearance and measures 9 mm.

The right ovary measures 3.2 x 1.7 x 1.9 cm and appears normal.  The left ovary measures 8.7 x 5.3 x 7.0 cm.  There is a complex cystic structure in the left adnexal region measuring 7.2 x 4.8 x 7.8 cm that contains internal septations without evidence of internal vascular flow.  Arterial parenchymal waveforms were identified in both ovaries.

No pelvic free fluid is identified.

IMPRESSION:  Left adnexal complex cystic mass with associated septations.)

I would truly appreciate any information or translation of what this means.  Thank you!


This is my update:  I have been scheduled to see a gynecologist surgeon on the 24th of June.  I am assuming it will be taken out. I have not been told anything else.  How concerned should I be of this being something other than just a plain cyst.  The information out on the web is overwhelming and takes me from the thought of "Oh, this is just a cyst" and then I read something else and I think to myself " Oh $%!#"  Any information would be greatly appreciated.

[lvfrogs]

As you will read on here, most cysts are benign but I know when you are waiting for surgery, it is a looong wait and it is easy to worry.  I feel like your doctor is right on top of things and that is great.  I will keep you in my prayers for excellent results from your surgery. Keep us posted.
Colleen

[silver&gold]

Hi,
It sounds like you have a complex cyst of the left ovary measuring just over 7cm, complex cysts have walls and compartments that contain both fluid and solid matter . They are usually removed when the size exceeds 5cm , they cause a little more suspicion than other cysts but all in all 95% of cysts turn out to be benign. Complex cysts are very commonly found in people with endometriosis , I had a 10cm and 12cm complex cyst on each ovary connected to endometriosis. It looks like the report on your uterus is normal from what I can see . Try not to worry too much because the odds are in your favour !!!.

Take care Best wishes Angie

[TrudieC]

To reply to a posting just scroll down underneath it where it says post a comment.  The To field is optional.

I'm so sorry you're going through this.  Do take a look at the health pages (accessed at the top right of your screen) and at the types of cysts and symptoms.  This is a good explanation that you may find helpful.

There is always a very small risk of ovarian cancer but remember that the majority of cysts are benign.  You need to be careful that the cyst doesn't twist or burst so getting it looked after is very important.

All the best,
Trudie