Worried about my wife

[Andrew37]

My wife has had ultrasound today, and here is the report.  I would like to know if this is something we should be worried about.  The consultant is suggesting surgery to remove the cysts.  We are really worried - please help.
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The uterus appears normal. It measures approximately 8.8cm in length with a 4mm symmetrical endometrium. The right ovary appears normal. The left ovary is enlarged to an overall maximum dimension of approximately 8cm by 3 separate but contiguous lesions. Cranially there is a 4.5cm lesion with contains a more solid area centrally but with a cystic area peripherally.
The more solid area appears mildy heterogeneous and does not demonstrate any blood flow. The appearances overall suggest a haemorrhagic cyst. The 2 caudal lesions measure 2.2 and 2.8 cm in maximum dimension respectively.
Both of these return inhomogeneous low level internal echoes and do not demonstrate any blood flow. The appearances here seem more characteristic of endometriotic than haemorrhagic cysts.

The kidneys and bladder appear normal.

Conclusion: no cause for haematuria identified.  Three left ovarian lesions which seem most likely to represent haemorrhagic/endometriotic cysts.
However, further ultrasound follow-up is recommended if a surgical approach to management is not pursued.
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Thanks in advance.

[MarieMichele]

That explains the confusing ultrasound at least.  It's not the first time we've seen complex cysts and endo cysts confused by doctors.  I don't think pre-surgery tests are quite able to fully distinguish one from the other.  I am very happy it all turned out benign.  It is strange how there was no endometriosis.  

The woman's body and its disorders are a true mystery and it's sad that most of us are going to have some kind of problem in our lifetimes that require some kind of surgical correction.  Thankfully the majority of the problems are benign, but we still have to go through a big scare anyway.

[Andrew37]

Just to let you know - cysts removed by keyhole surgery - endometriod cysts, but strangely, no sign of endometriosis.  Biopsy results have come back as benign.  Thanks all.

[Andrew37]

Many thanks for your kind comments.  The report is from the radiologist, not the ultrasound tech.  The consultant this morning told me he is 99.9% sure that all will be benign.  My wife is booked in 2 weeks time to have them removed via laporascopy.

[MarieMichele]

That one is confusing and almost conflicting in some aspects.

Maybe they are complex ovarian cysts?  Some cysts are hard to identify. Is that just a report from the ultrsound tech or from a radiologist? Rarely does anyone get a good interpretation on the same day as the test because they are often sent out to experts to be read.

[TrudieC]

It seems there are 3 complex cysts and they are not sure of what kind.  The no blood flow is a good sign.  Sometimes cysts will resolve themselves by waiting a cycle or two but with this many and being a little suspicious surgery sounds like a good idea to me.  Because of the size they can likely do via laporascopy which will require a 2 week recovery.  Please take a look at the health pages (top right) and there is more information on types of cysts and symptoms there that you might find useful.  Do encourage her to not panic.  More than 95% of all cysts are benign but they can't be sure until they remove and biopsy.