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Doctor insights on: Complex Ovarian Lesion

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Dx @ ER with ovarian cysts & complex lesion rupture. 12 days just now bleeding lightly w/ leg pain. Much lighter then period no back pain. Er or gyno?

Dx @ ER with ovarian cysts & complex lesion rupture. 12 days just now bleeding lightly w/ leg pain. Much lighter then period no back pain. Er or gyno?

Gynecology: I would never tell a patient not to go to the er for emergencies, but you need to establish a patient physician relationship with someone who can follow you long term and educate you about your problem. ...Read more

Dr. Scott Bolhack
802 Doctors shared insights

Wounds (Definition)

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What is an ovarian lesion?

What is an ovarian lesion?

It is: An as yet undefined abnormality of the ovary which may require further imaging or biopsy to diagnose accurately, ...Read more

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What is a complicated cystic ovarian lesion and what are its risks?

What is a complicated cystic ovarian lesion and what are its risks?

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

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I have a thick walled left ovarian hypoechoic lesion should I be concerned?

I have a thick walled left ovarian hypoechoic lesion should I be concerned?

Depends: Depends on the size of the cyst, family history, presence of other symptoms and other factors. This may or may not be anything worrisome. Need more information to make a determination of the need for follow up or treatment. Hope this helps. ...Read more

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How do they tell the difference between a malignant and benign ovarian lesion on an ultrasound?

How do they tell the difference between a malignant and benign ovarian lesion on an ultrasound?

Not always clear cut: Purely simple, smooth ovarian cysts are considered benign. Cysts with debris, septations or nodules along their walls can be concerning. Sometimes we do follow up ultrasound to see if they grow. If there is enough concern, MRI helps. Correlation with patient age, family history, blood tests and possibly biopsy also help us be sure. ...Read more

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Ovarian cystic lesion what does having 6.4x3.5 cystic lesion with internal septation on the left ovary mean?

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

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March MR found 3.3cm left ovarian cyst. July follow up US - cyst now 3.8cm mildly complex avascular with septations centre of lesion. What are dangers?

March MR found 3.3cm left ovarian cyst. July follow up US - cyst now 3.8cm mildly complex avascular with septations centre of lesion. What are dangers?

Ovarian anomaly: Please be seen. An ovarian abnormality could be something very simple and of no concern. However the more complex the cyst is the more likely that it could be something of significant pathology. You need to be seen by your physician. ...Read more

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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?

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

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What characteristics on an ultrasound allow one to tell whether an ovarian lesion is solid or cystic?

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

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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

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I have 3.1cm hypo echoic lesion cysts. ...The ER repoert said left ovarian follicle. Iam so scared what this can be now.

I have 3.1cm hypo echoic lesion cysts. ...The ER repoert said left ovarian follicle. Iam so scared what this can be now.

Likely nothing: It is common for a woman to get small cysts on the ovaries that come and go. A 3.1 cm ovarian cyst is most likely a follicular cyst, or a follicle, which is simply a cyst that is holding an egg as a woman gets ready to ovulate - or release - the egg. These cysts go away on their own in 2 weeks to 2 months. There is nothing for you to worry about. ...Read more

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US 3.8cm mildly complex ovarian cyst. Septations mainly in mid aspect of lesion and no vascularity seen. What does "mildly complex" mean?

US 3.8cm mildly complex ovarian cyst. Septations mainly in mid aspect of lesion and no vascularity seen. What does "mildly complex" mean?

Great question: Not really sure. Any thing that is not a simple cyst is called complex. Sometimes the person who is reading the report does not think it is so bad so calls it mild. But it is not really a medical term. ...Read more

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I was diagnosis 12 days ago at the ER with ovarian cysts on both ovaries and a complex lesion rupture on the right one I have not had any discharge fever nau?

Ovarian cysts: Ovarian cysts can be physiologic (normal) or pathologic (abnormal). They do not necessarily cause any symptoms. ...Read more

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What does my uterus ultrasound mean by: Mild free fluid in cul-de-sac and around right ovary. However no solid or cystic ovarian lesion observed.

What does my uterus ultrasound mean by: Mild free fluid in cul-de-sac and around right ovary. However no solid or cystic ovarian lesion observed.

Sounds ok: All radiology studies must be interpreted by the doctor who ordered it in order to place the findings in the proper clinical context. Most women have a small amount of free fluid pelvis below the uterus (cul de sac). The report also states that nothing abnormal was seen in the ovaries. ...Read more

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L salpingo oophorectomy for simple cyst & pain. 5mos later, new onset R ovarian complex cyst w/ septation, uterine fibroid & 10mm L4 lesion. Cancer?

L salpingo oophorectomy for simple cyst & pain. 5mos later, new onset R ovarian complex cyst w/ septation, uterine fibroid & 10mm L4 lesion. Cancer?

Not necessarily: While cancer is a possibility it is not the most likely diagnosis. More testing such as doppler flow studies on ultrasound can help with the diagnosis. It may well require surgery to know for sure. Good luck. ...Read more

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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.

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 more

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Results from a CT scan. What does scattered high attentuating lesions in the left kidney mean? Also what does scattered ovarian follicles mean?

Results from a CT scan. What does scattered high attentuating lesions in the left kidney mean? Also what does scattered ovarian follicles mean?

Spots on kidney, ova: High attenuating lesions are usually solid, & could b stones in the kidney. However, the CT scan won't figure that out. Only a crystal analysis of the urine or a biopsy would tell you for sure. Scattered means they are "all over' - probably on both sides, which argues against a tumor. Ovarian follicles, or eggs, can germinate in both ovaries - probably related to your menses, the finding is benign ...Read more

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Can ovarian cyst be treated n how?

Can ovarian cyst be treated n how?

Patience vs. Surgery: Most ovarian cysts in young women are "functional cysts", which evolve from a follicle that you ovulate from, then grow and finally resolve spontaneously over several weeks. Birth control pills do not speed up the resolution, but do decrease recurrences.
If the cyst persists then surgery, often laparoscopic, is necessary to remove the cyst and have it tested for cancer. ...Read more

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What is ovarian new growth?

Can't answer: Not aware of any such thing. Perhaps you misunderstood what someone said? ...Read more

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What is 49cc ovarian volume?

What is 49cc ovarian volume?

Unclear significance: Ovarian volume is not often used by most obgyns and it's significance is debatable. It is thought the a higher ovarian volume reflects a higher number of remaining eggs or oocyctes. ...Read more

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How does an ovarian new growth form?

How does an ovarian new growth form?

It is difficult to p: One can not tell how and why but it just does in some cases. I guess it is bad luck. It is like any growth in the body...Largely not in our control. So you have to live a healthy life style to keep our bodies from catching ailments like new growths (cancers). ...Read more

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What is the meaning of ovarian reserve?

What is the meaning of ovarian reserve?

Ovarina reserve: Ovarian reserve refers to the potential of a woman's ovaries to release mature eggs at her age. This directly relates to the chance to become pregnant. Those women will lower ovarian reserve have less of a chance to conceive either naturally or by ivf. ...Read more

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How do we diagnose a poor ovarian reserve?

How do we diagnose a poor ovarian reserve?

Not sure: Not sure what you mean but premature ovarian failure and be diagnosed with hormone levels and sometimes antibodies against the ovaries can give a clue but if you are looking to see how many follicles or eggs are present that is something to discuss with and ob-gyn. ...Read more

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What tests can be done to measure ovarian reserve?

What tests can be done to measure ovarian reserve?

Multiple tests: There is no perfect test: ultrasound for ovarian volumes and antral follicle counts (afc) is very helpful, also antimullerian hormone (amh) blood test, day 2/3 Estradiol and follicle stimulating hormone (fsh) levels, and the Clomid (clomiphene) challenge test, where we check the fsh level on day 10 after 5 days of Clomid (clomiphene) at 100 mg/day. The Clomid (clomiphene) challenge test is best validated, with ultrasound coming in #2. ...Read more