Doctor insights on:
Complex Ovarian Lesion
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
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
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
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
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
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
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
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
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
Fundus contains enhancing lesion measuring 3.5x3.3cm bilateral ovarian follicles are noted largest one on right ovary measuring 11.9x9.2mm on MRI
Pelvic U/S showed a 5.5 CM right ovarian lesion that looks like an endometrioma. My OB wants to do robotic surgery to remove it. Is it necessary?
Complex cystic lesion rt ovary within is focal septated cystic structure color dop. Eval. Dem. Arterial blood in septations. Cystic ovarian neoplasm?
I have hypoechoic lesion (1.5*1.4 cm) in the uterus, an ovarian cyst (1.9*2.0 cm). Does this demand a surgery for removal or medication will work?
Echo of uterus: Only your Dr can advise you on this. We do not know you well enough. ...Read more
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
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
L salpingo oophorectomy for simple cyst & pain. 5mos later, new onset R ovarian complex cyst w/ septation, uterine fibroid & 10mm L4 lesion. Cancer?
Gurgling type feeling and intermittent pains in ovarian area... Gas? Abnormal pap in march squamous intraepithelial lesions atill need biopsy 25yr old
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.
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
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
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
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
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
Pcos: AbsolutelyGet a more detailed answer ›