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Abnormal right ovary on scan, could it be ovarian cancer?

I am 19 years old and during a routine obgyn check, my transvaginal ultrasound showed my right ovary to be enlarged. I am taking birth control and my left ovary is 1.68/0.64 cm and my right ovary is 3.22/2.20 cm. My doctor told me that the size of the left ovary was normal considering I'm take BC and that the right ovary should be roughly the same size. Also, the right ovary shows that it is in some way 'coated' in a different texture, my doctor said that it appears as if there was some bleeding although no fluids were seen around the ovary, that to him it looks like a 'bruise'. No cysts or mass was found and on the papers he wrote 'suspicion of old  hemorrhagic cyst' which I really don't understand. The pictures he took of my right ovary shows that on the ultrasound there's something white that is partially coating ovary. I haven't really had any symptoms. I'm just worried sick since I have to leave the country soon for uni and won't be able to do as many investigations as I normally would and I'm worried that it could be early ovarian cancer.
2 Responses
973741 tn?1342342773
COMMUNITY LEADER
That's always scary.  But first lets keep into perspective that you are very young making you less likely to be the demographic of those who get ovarian cancer.  Why were they checking you with the transvaginal ultrasound?  Were you having some kind of symptoms that needed investigation?

A hemorrhagic cyst is a complex cyst that has blood vessels involved. They aren't that uncommon for women before menopause and rarely have an impact on fertility later on or anything like that.  That he sees that as a possibility makes sense but I'm sure that is something you'd like confirmed. They do often pass on their own, so again, it is not an unreasonable assumption that this is what it is.

Did he suggest any follow up?  If not, that's actually a good sign. Ruling out cancer trumps getting to uni on time to a medical professional. If he worried about cancer, he'd insist on further investigation before you go.  But if he is a shoddy doctor and that isn't the case, I guess I'd like to know. https://www.mayoclinic.org/diseases-conditions/ovarian-cancer/diagnosis-treatment/drc-20375946  This gives ways ovarian cancer is diagnosed.  You could do a blood test called a CA 125 test.  It's not used for true diagnosis but gives your doctor a clue.  And some more imaging tests to get a better view would make sense.  

Again, I do doubt it is cancer but know that I'd want to know for sure too.  hugs
134578 tn?1614729226
COMMUNITY LEADER
Most ovarian cysts are not cancerous. Have you had an ultrasound of the same ovary before and it looked exactly like the other one? That would rule out a dermoid cyst, which would have been there from birth and so must have been seen if you had ever had an ultrasound prior to this one. There is also a kind of cyst that contains apparent endometrial tissue (can't remember if it is real migrated tissue or just something that looks like it). Those are called a "chocolate cyst." Point is, there are lots of kinds of ovarian cysts that aren't dangerous, just odd. If your doctor took a watch-and-wait approach, I'd try to relax. If you aren't a virgin, one way an ovary can bleed is to get bonked during sex by the guy's penis. If you happen to have a boyfriend with a penis lengthy enough to do that or a pounding style, possibly that happened and caused bleeding in the past. (A needle biopsy would be able to drain it if it is still fluid.)

As specialmom says, let your doctor's concern level be your guide. If the doc is not concerned, try not to worry. Let us know how it resolves.
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