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Doctor insights on: Heterogeneous Ovarian Cyst With Vascularity

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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

Cyst (Definition)

A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more


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Hello, I'm a 26 years old Italian girl diagnosed with an unilocular ovarian cyst occupying my right ovary, measuring 4.5x4.9cm, liquid-filled and with a papillary component (2.8x1.4cm, non vascular, resembling a septum though). Waiting for CA-125 and othe

Hello, I'm a 26 years old Italian girl diagnosed with an unilocular ovarian cyst occupying my right ovary, measuring 4.5x4.9cm, liquid-filled and with a papillary component (2.8x1.4cm, non vascular, resembling a septum though). Waiting for CA-125 and othe

Needs to be checked: Ovarian cysts are often benign. But if they keep getting larger or have a papillary component, then we get concerned and pursue it further to make sure that there is no Cancer(Ovary Cancer) hiding inside it. CA 125 , if elevated above 150-200(Normal is ...Read more

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Been advised I have a 2x3x2 ovarian cyst heterogeneous in nature. What does heterogeneous in nature mean? What follow up do you suggest?

Been advised I have a 2x3x2 ovarian cyst heterogeneous in nature. What does heterogeneous in nature mean? What follow up do you suggest?

Means many things: Homogeneous means that the cysts would look like a clear "water balloon" on ultrasound which is filled with one type of substance(water). Heterogeneous means that the cyst is filled with many different types of tissue that is often not "clear" like water .Although the ovarian cysts are very small a repeat ultrasound or MD visit would be advisable in 6 months or sooner if there is pain. ...Read more

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Should I be worried about a growing heterogeneous ovarian cyst that now looks more solid??

Should I be worried about a growing heterogeneous ovarian cyst that now looks more solid??

Growing ovarian cyst: While I am NOT a gynecologist a "growing" mixed density ovarian cyst is of concern. A simple cyst - fluid filled is generally benign but a heterogenous cyst may represent something like an endometrioma - You don't list any symptoms but I would recommend that you see a gynecologist and consider having the cyst removed and analyzed to make sure its not something of concern. Good luck ...Read more

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Very painful heterogeneous ovarian cyst growing and looking more 'solid'. Should I be concerned?

Very painful heterogeneous ovarian cyst growing and looking more 'solid'. Should I be concerned?

Need to evaluate: I would recommend further evaluation with a gynecologist there are many different causes for ovarian growths or cysts. Any cyst that is complex or has solid components needs further testing. ...Read more

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Very painful heterogeneous ovarian cyst growing and looking more 'solid'. Should I be concerned? Generally feel rubbish with it all too.

Very painful heterogeneous ovarian cyst growing and looking more 'solid'. Should I be concerned? Generally feel rubbish with it all too.

Seek Gyn oncologist: It is usually recommended that a complex ovarian lesion "looking more solid" be carefully evaluated and removed for pathological examination (exploratory laparotomy or laparoscopic surgery) to rule out a malignant ovarian tumor. Although the risk of cancer is relatively low, it would be best to seek a consultation from and the expertise of a Gyn oncologist. ...Read more

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I had MRI done on hips finding mildly complex heterogeneous 3.9x3.4x3.8cm ovarian cyst with presence of moderate free fluid within pelvis how serious?

I had MRI done on hips finding mildly complex heterogeneous 3.9x3.4x3.8cm ovarian cyst with presence of moderate free fluid within pelvis how serious?

At your age,: this is most likely a benign hemorrhagic cyst, but it needs to be followed up with your gyn and probably follow up ultrasounds to see if it resolves. ...Read more

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I recently had a MRI on my hips which shows mildly complex heterogeneous ovarian cyst and presence of free fluid within the pelvis How serious is this

I recently had a MRI on my hips which shows mildly complex heterogeneous ovarian cyst and presence of free fluid within the pelvis How serious is this

Hard to say: It is hard to say since there are many different causes of these findings. The first thing recommended should be a pelvic ultrasound with doppler flow studies.The cyst can be a functional cyst with hemorragh (caused by the function of the ovary-ovulation),an endometrioma, a cystic teratoma or dermoid, or a cancer. The doppler flow will be increased if it is cancer. ...Read more

Dr. Sandra Lora Cremers
2 doctors shared insights

Ovarian Cyst (Definition)

A growth (often balloon like) on an ovary. It is often thin walled ...Read more