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Mass on Pelvic Sidewall
I just turned 32. I had a hysterectomy in 2014 because of pelvic pain, excessively heavy bleeding, anemia, etc.. I kept my ovaries.
However, I have been having pelvic pain and tender breasts for the last 6-8 weeks. I went to my regular doctor, and he first said I had a stomach virus, then he wanted to send me for a mammogram (clear), and kept pretty much brushing me off. I went to another doctor who confirmed I had a bladder infection, but who also suspected something was up with my ovaries.
I was sent for a CT with no contrast yesterday. Before I even left the hospital parking lot, I was called back for a CT with contrast because of a suspected mass. After that 2-hour long test, they then wanted an ultrasound, and then a transvaginal ultrasound. The results are confusing to me, no one has explained anything to me, and they just say they are referring me to a gyn to figure out what needs to be done. Results are as follows.
CT w/o contrast: Patient has an abnormal mass in the left pelvic sidewall measuring 5.1 cm in size. It appears to be inseparable from underlying iliac vessels. There appears to be some free fluid also present in the pelvis. The patient appears to have had a previous hysterectomy. The examination is otherwise quite limited and the study should be repeated with enteric and IV contrast material.
CT w contrast: IMPRESSION:
1. The mass seen on the recent noncontrast study may correspond to an enlarged left ovary. Further evaluation with pelvic ultrasound, both transabdominal and transvaginal
2. Small amount of free pelvic fluid,
Both Ultrasounds:
There is a 5.1 x 3.0 x 3.4 cm heterogeneously hypoechoic solid mass in the pelvic to the left of midline. This appears to correspond to the indeterminate mass seen in the same location on the recent CT scans. This could represent the left ovary although this is atypical, has somewhat of an atypical appearance for an ovary. Arterial flow is identified within this mass. The right ovary is not identified. There is free pelvic fluid.
Does anyone have a clue what it means? #nervous
However, I have been having pelvic pain and tender breasts for the last 6-8 weeks. I went to my regular doctor, and he first said I had a stomach virus, then he wanted to send me for a mammogram (clear), and kept pretty much brushing me off. I went to another doctor who confirmed I had a bladder infection, but who also suspected something was up with my ovaries.
I was sent for a CT with no contrast yesterday. Before I even left the hospital parking lot, I was called back for a CT with contrast because of a suspected mass. After that 2-hour long test, they then wanted an ultrasound, and then a transvaginal ultrasound. The results are confusing to me, no one has explained anything to me, and they just say they are referring me to a gyn to figure out what needs to be done. Results are as follows.
CT w/o contrast: Patient has an abnormal mass in the left pelvic sidewall measuring 5.1 cm in size. It appears to be inseparable from underlying iliac vessels. There appears to be some free fluid also present in the pelvis. The patient appears to have had a previous hysterectomy. The examination is otherwise quite limited and the study should be repeated with enteric and IV contrast material.
CT w contrast: IMPRESSION:
1. The mass seen on the recent noncontrast study may correspond to an enlarged left ovary. Further evaluation with pelvic ultrasound, both transabdominal and transvaginal
2. Small amount of free pelvic fluid,
Both Ultrasounds:
There is a 5.1 x 3.0 x 3.4 cm heterogeneously hypoechoic solid mass in the pelvic to the left of midline. This appears to correspond to the indeterminate mass seen in the same location on the recent CT scans. This could represent the left ovary although this is atypical, has somewhat of an atypical appearance for an ovary. Arterial flow is identified within this mass. The right ovary is not identified. There is free pelvic fluid.
Does anyone have a clue what it means? #nervous
COMMUNITY LEADER
It's hard to say but ovarian cysts are common and there are some that appear solid but are benign (non-cancerous). Here is a helpful website about ovarian cysts - http://ovaryresearch.com/ovarian_cysts.htm. Cysts can alter hormone levels which may explain the tender breasts. However, hysterectomy itself can alter hormone levels because it can impair the functioning of the ovaries.
Let us know what more you find out. Hoping it's nothing serious.
Let us know what more you find out. Hoping it's nothing serious.
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