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How Would Dr No A Pelvic Mass Or Cyst Or Fibroid
Surgery: Other than ultrasound appearance, the only way to distinguish them is through surgery. ...Read more
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
Yes to a degree: Ultrasound is commonly used to classify Cysts in the Ovary. This reflects the risk of a cyst being benign versus Cancerous. The size of the cyst and whether it it has any solid components in addition to fluid increases the risk of it being cancerous. Your gynecologist should guide you further. ...Read more
I have a 8.4cm hypoechoic cystic lesion on my ovary. I saw an obgyn who wants to do a lap cystectomy. An oncologist suggested a laparotomy cystectomy. Which is more recommended? Cyst is complex and possibly endometrioma, hemorhaggic or dermoid.
Lap vs open: A laparoscopic approach is the minimally invasive approach. Open cystectomy is an old school way of doing things. Robotic cystectomy may be an option if your facility has one. I personally like the minimally invasive option of laparoscopy/robotic laparoscopy over open approach. Quicker recovery with the same outcomes if surgically equal at both. ...Read moreSee 1 more doctor answer
Depends: If the large ovarian cyst is physiologic or functional, it will resolve spontaneously over time. If it is not physiologic, it may need to be removed depending on the size and symptoms. Enlarged uterus may be due to a number of causes. Unless it causes symptoms nothing needs to be done. ...Read more
Doctor says I either have kidney stones or a ruptured ovarian cyst, and ultrasound isn't for another 2 weeks. Is there a way to tell the difference?
Examination & biopsy: Sometimes, clinical appearance of benign tumor is different than cancer-and that will give you some hints that perhaps it is not a cancer. However, biopsy of the lesion is the only thing that can tell you definitively whether it is a benign tumor or cancer. Discuss with your gynecologist. ...Read moreSee 1 more doctor answer
Would a transvaginal pelvic scan be enough to know if I have polycystic ovarian syndrome, or endeomitritis?
Docs say my mum has a fibroid or a cyst in her uterus,has constant bleeding they may have to remove the uterus.is this an ovarian cyst? suggestions?
Depends: Did the doctor doing ultrasound to evaluate your mother to make this determination? Often just wrong or certain birth control pills and trying to size of the fibroid which would prevent her from having it surgically removed. Also the constant bleeding usually can be controlled with medication. Want to make sure your mother is seeing an OB/GYN doctor and get another opinion ...Read more
What can cause a large septated solid mass on an ovary to rupture? What options should I ask my gyn that could be available other than hysterectomy?
Can ultrasound tell the difference between tumors and other things? Could an ultrasound mistake a tumor for a cyst, fibroid or other mass?
Yes and Yes: Ultrasound is just one of many imaging modalities. It can be very accurate at distunguishing abnormalities but it often depends on what you are imaging and the expertise of the ultrasonographer. No test is ever 100% but ultrasound is fairly good at telling between cystic and solid lesions. ...Read moreSee 1 more doctor answer
Hi gud day. I would like to ask regardng with this result,endometrial mass consider blood clots,left ovarian cyst consider as endometriotic cyst. Thnx?
Have a patient post menopause with an 8 CM ovarian cyst. No symptoms and looks like a simple cyst. Should it be removed?
Cyst: Even if simple appearing, an 8 cm cyst in a post menopausal woman should be removed. ...Read more
More information?: It is always reasonable to start with a laparoscopy, but information can be gathered pre-operatively to decide if the ovary is more likely to be benign and removable with laparoscopy or malignant and needing laparotomy. Favorable signs include a simple vs. Complex cyst, no fluid in the abdomen, and the values of biochemical markers such as ca-125 and he4. ...Read moreSee 3 more doctor answers
Rupture is serious: Dermoids can have hair and teeth in them, so are complex on U/S,. The black stuff in the picture is hair. They often grow slowly but rarely rupture. If so, it's like appendicitis and needs immediate surgery. U/S is a good screen for ovarian masses, but with a "surgical pelvis" CT is done. An early sign of impending rupture on U/S might be fluid in the pelvis, but this is not diagnostic. ...Read more
Can a doctor tell from a pelvic ultrasound if an ovarian cyst is cancerous or benign? Or do they all look alike and need further tests?
It depends: Certain features make it highly likely that a cystic lesion is benign(e.g. a small "simple cyst"), and others make it more likely to be malignant. There is significant overlap between benign and malignant features, so at times it is impossible to tell. Other times the appearance is so characteristic that benignity/malignancy can be predicted fairly reliably. Age and other findings also factor in ...Read moreSee 1 more doctor answer
Depends : Ovarian cysts are often asymptomatic and found incidentally by exam or sonogram. The same goes for fibroids. If a cyst is going to cause symptoms, it will usually be pain, not necessarily with the period. May also occur with intercourse. Fibroids most often cause heavy menstrual bleeding, and sometimes also painful periods. If large enough, they may cause bladder pressure, or constipation. ...Read more
Should I trust a regular OB GYN to do a Laparoscopic Cystectomy on an 8.4 and 4 cm hypoechoic cystic lesion? Or should I have a gynecologic oncologist do a Laparatomy? Both suspect endometriomas/endometriosis but have different surgery suggestions.
Ans: Endometriosis is diagnosed by exploratory surgery. If this is what is expected why would you need an oncologist? The lesion will go to pathologist who will make the diagnosis for you. So if endometriosis you have no need for oncologist/gynecologist. Both are well trained I am sure in the procedure which is straight forward ...Read moreSee 1 more doctor answer
Is there any chance a obgyn would not suggest surgery for a 15cmx8.4cmx15.7cm pelvic cyst ? The cyst causes excessive pain daily .
Yes: That is definitely a large cyst. And especially if it's causing you daily symptoms and/or pain, then most any surgeon is going to recommend removal. If you met an ob/gyn who said you should not have surgery, and consider seeing a different ob/gyn. As most would recommend laparoscopic removal of that. ...Read more
Uterine fibroids are the most common pelvic tumor in women. 1 of every 3 women of child-bearing age have these tumors and up to 80% of african-american women have fibroids. They are often asymptomatic but they can also cause significant symptoms. It is the most common cause of heavy menstrual bleeding. Pelvic pain and increased urinary frequency ...Read more
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