Doctor insights on:
Complex Ovarian Cystic Lesion
Many things: Melanie, a complex ovarian cyst could be many things. Most likely, it is a hemorrhagic cyst (a cyst that bled). Other possibilities could be an infection, or far less likely an ovarian tumor (these are rare). I'm sure your doctor recommended follow up scans, so just follow up as they recommend. If you develop worsening or changing symptoms, call them and let them know. Hope this helps! ...Read more
Ovarian cystic lesion
what does having 6.4x3.5 cystic lesion with internal septation on the left ovary mean?
Ovarian cyst: With septae , with a size of 6 cm across needs to be evaluated by your gayneacologist.Cysts could be benign and malignant cystic conditions .Benign cysts- hyperstimulation syndrome from clomiphene, endometriosis-ovary , pid causing tuboovarian swellings are there. Benign tumours with thin septae like in serous & mucinous cysadenoma can occur.Ovarian ca's including teratoma/dermoid cyst to be r/o. ...Read more
I have a right adnexal ovarian cystic lesion measuring 11.2x10.9x7.7 cm. may reflect a large endometrioma. Sml Amt free fluid in culdesac. How bad is?
Need firm dx: MRI can be helpful to firm up the diagnosis of endometrioma and be an adjunct to ultrasound. MRI may find other lesions. On the other hand laparoscopy has the advantage of getting tissue and performing therapeutics. A small amount of free fluid is non-specific and not unexpected for a cystic lesion of that size. Decisions as to how to proceed require clinical correlation and advice of GYN. ...Read more
What characteristics on an ultrasound allow one to tell whether an ovarian lesion is solid or cystic?
Cysts have fluid, : A certified experienced sonographer can recognize that an ovarian lesion is cystic by the presence of fluid within the cyst while solid lesions do not have fluids. Some ovarian lesions can be complex and appear as containing combinations of cystic and solid components. Blood within an ovarian lesion may be misleading and confusing : hemolysed blood may appear "cystic"; organized clots look solid. ...Read more
Can you tell me what a 2.4 CM left ovarian cystic lesion with 8mm enhancing mural nodule suspicious of neoplasm.
It is suspicious: You should ask your doctor what it means in terms of future follow up. Since it is suspicious, a repeat imaging study needs to be done in 2 months. I would also advise you to find out if a ca125 test has been done or not? This might provide further guidance as to the possibility of ovarian cancer(if the ca125 is high now, removal of this lesion(cyst) should be considered sooner than later). ...Read more
Complex cystic lesion rt ovary within is focal septated cystic structure color dop. Eval. Dem. Arterial blood in septations. Cystic ovarian neoplasm?
I had a CA-125 done for ovarian cysts (10.5cm and 4cm) Test came back 190. Had another test weeks later and new u/s. Cyst is now 8.4 and CA-125 is 110. Is this even possible? Cysts are hypoechoic cystic lesions possibly endometriomas & endometriosis.
CA-125 testing: CA- 125 testing is notoriously inaccurate when it comes to testing for ovarian cancer especially when endometriosis is a part of the equation. IF there is continued concern most MD's will take a "look/see" with the laparoscope and confirm a definitive diagnosis. ...Read moreSee 1 more doctor answer
Many do: Pcos often interferes with fertility to some degree but effected women can and do have kids. It makes it a bit harder for you to control the where or when if you are not sure you are ovulating at a specific time. If you just let nature figure it out and don't worry about it it can happen (if your not using birth control). ...Read more
Cysts are: Women produce small cysts, called follicles, on their ovaries every month. Ovarian cysts are very common, especially women of reproductive age. The vast majority of ovarian cysts are benign. When there is a soft tissue component (a mass that is partially cystic), it generally becomes more concerning as the soft tissue percentage increases. ...Read more
Been told I have endometriosis and poly cystic ovarian syndrome, what are the chances of my partner and i having children?
PCOS: See a high risk obstetrician to help you conceive. ...Read more