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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

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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