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Doctor insights on: Complex Adnexal Mass

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Is multi septate complex ovarian cyst malignant?

Is multi septate complex ovarian cyst malignant?

Possible: Most malignant ovarian cancers are complex and multilocular / multiseptate. But many benign ovarian cysts also present that way as well. The only way to know for sure is to biopsy or remove the cysts for pathologic evaluation. ...Read more

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CT - 5.8x6.4cm rnd complex cystic mass in posterior pelvis inseparable from adjacent sigmoid colon. Demonstrates lobulated enhancing nodule centrally.

CT - 5.8x6.4cm rnd complex cystic mass in posterior pelvis inseparable from adjacent sigmoid colon. Demonstrates lobulated enhancing nodule centrally.

Not sure: A posterior pelvic complex cystic mass in a 65-year-old woman can have many potential causes. This needs to be checked out to find the actual cause and to consider treatment options. You should see a gastroenterologist for further evaluation, if you're not already seeing one. ...Read more

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Is an exophytic complex ovarian cysts serious?

Is an exophytic complex ovarian cysts serious?

Yes: Exophytic means there is growth on the outside of the cyst. Complex means there are different materials in the cyst or there are walls in the cyst. This raises the suspicion of malignancy. ...Read more

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Overian complex adnexal mass women under 40 are risk for overian cancer?

Overian complex adnexal mass women under 40 are risk for overian cancer?

Possible: All complex adnexal masses are a theoretical risk for ovarian cancers, but there are many other possibilities too. Risk is estimated by size, apearance on ultrasound, age group, behavior over time, and other things. ...Read more

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Complex cystic hypoechoic nodules right parotid gland with internal vascular septations &calcifications Echogenic foci Biopsy in future. Inconclusive?

Complex cystic hypoechoic nodules right parotid gland with internal vascular septations  &calcifications Echogenic foci Biopsy in future. Inconclusive?

Parotid mass: Your doctor will probably want an FNA, fine needle aspiration to obtain cells that can be examined by a pathologist. Probably will be benign but your ENT may suggest it be completely excised. ...Read more

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Is total hysterectomy required on complex septated ovary cysts? Right=12cm Left=5cm Fibroid=5cm

Is total hysterectomy required on complex septated ovary cysts? Right=12cm Left=5cm Fibroid=5cm

No: Episodic surgical management of both of these problems can include ovarian cystic resection/biopsy and myomectomy for the fibroid. At age 44 and finished with childbearing, hysterectomy is an option but not required. ...Read more

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Well circumscribed hypoechoic 4.8 cm cystic mass. Thickened internal septations, perifpheral mural nodularity and calcification. Pain upper abdomen.

Well circumscribed hypoechoic 4.8 cm cystic mass.  Thickened internal septations, perifpheral mural nodularity and calcification. Pain upper abdomen.

Ovarian: I assume the report is describing an ovarian cyst which may be fluid filled. If so, your gynecologist is best qualified to evaluate and advise you. It is not clear if this is the cause of your abdominal discomfort since the discomfort is not in the pelvic area. Other imaging studies may be recommended. ...Read more

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I have a complex cystic ovarian mass with mural nodularity measuring 4.1 cm. Is this suspicious for malignancy?

I have a complex cystic ovarian mass with mural nodularity measuring 4.1 cm.  Is this suspicious for malignancy?

Possibly: A mural nodule may or may not be a sign of a malignant mass. This complex cyst should be followed with a pelvic ultrasound in 6-10 weeks. If still present or growing, consider a pelvic MRI without and with intravenous contrast. Please see your Gynecologist. ...Read more

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Complex cyst with small mural nodule what is mural nodule?

Complex cyst with small mural nodule what is mural nodule?

Soft tissue: A mural nodule is a small nubbin of solid tissue on the inner wall of a cyst. It is another component of a complex cyst (where is it?). Complex as opposed to simple cysts are at a higher risk for harboring malignancy and so usually require further evaluation. ...Read more

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Complex left ovarian cyst what is that 6.4 x6.2?

Ovarian cyst: complex means either it has walls (septations) or has both cystic and solid components. At over 6 cm in size your cyst is at risk of causing twisting of the entire ovary causing torsion (cutting off the blood supply). Usually at 6cm it needs to be addressed likely surgically. Complex cysts also mean slightly more likely to be tumors (benign and cancerous) are usually complex or hemorrhagic ...Read more

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CT scan shows I have a cystic teratoma/dermoid cyst with an additional 3.5 cm rounded fluid attenuation mass within R pelvis abutting the above mass.

CT scan shows I have a cystic teratoma/dermoid cyst with an additional 3.5 cm rounded fluid attenuation mass within R pelvis abutting the above mass.

Sorry to hear it. Q?: I'm sorry to hear the scan report. It seems like you could use some support in making sense of all this. Most importantly, do you have symptoms? I don't see a question posed, so please specify what is worrying you about the CT scan report. A teratoma is a (usually) benign tumor or growth. Fluid around the teratoma ("abutting the mass") is not unusual, & could also be b9. TTYD or use HealthTap Pr ...Read more

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Is septated cystic structure in ovary benign?

Is septated cystic structure in ovary benign?

Possible: An ovarian cyst can be benign but sometimes a septated cystic structure could mean cancer. See your doctor for further evaluation. ...Read more

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Complex cystic mass left ovary showing interval increase. Likely presumed endometrioma. Cannot completely exclude cystic neoplasm. What's this mean?

Complex cystic mass left ovary showing interval increase. Likely presumed endometrioma. Cannot completely exclude cystic neoplasm. What's this mean?

Endometriosis: This sound like a cyst of endometriosis in the ovary. At your age, the risk of cancer is very small, but you need to discuss a treatment plan with your GYN. This will likely require surgery for removal. ...Read more

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US shows 1 cm rounded hypoechoic mass w/ internal echoes, debris filled cyst or solid. CT says either a solid enhanicing or complicated cystic. Cance?

Can be either: A 1 cm. or less than 1/2 inch is rarely identified as a malignant lesion. On US too difficult to define the origin of the hypoechoic signal. One questions the symptoms that might have let the lesion be defined and where is this nodule . Is it superficial, in the abdominal cavity, palpated on neck exam or where else was the lesion defined. If there is suspicion of malignancy then bx. ...Read more

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Is complex heterogeneous predominantly silid mass with cystic components suspicious for cancer?

Is complex heterogeneous predominantly silid mass with cystic components suspicious for cancer?

Perhaps: You did not provide enough information to answer this question. what body part? what type of scan? What symptoms? I would be happy to consult with you at our mutual convenience. ...Read more