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Doctor insights on: Ovarian Hypoechoic Mass Containing Debris And A Septation

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Ultrasound of liver shows a 2.4x1.5x3.2cm hypoechoic, avascular mass with internal debris may represent a complex cyst. Any cause for concern?

Ultrasound of liver shows a 2.4x1.5x3.2cm hypoechoic, avascular mass with internal debris may represent a complex cyst. Any cause for concern?

Some: Some, but not a whole lot. If indeed this is a complex cyst, these are common and benign. In cases where there's ambiguity (when you see the word "may,") then depending on symptoms and sometimes lab values, this study would either be repeated in time to assess for change, or a more detailed imaging technique such as CT or MRI would be used to evaluate the lesion in more detail without waiting. ...Read more

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US shows 1 cm rounded hypoechoic mass w/ internal echoes, debris filled cyst or solid. CT says either a solid enhanicing or complicated cystic. Cance?

US shows 1 cm rounded hypoechoic mass w/ internal echoes, debris filled cyst or solid.  CT says either a solid enhanicing or complicated cystic. Cance?

Can be either: A 1 cm. or less than 1/2 inch is rarely identified as a malignant lesion. On US too difficult to define the origin of the hypoechoic signal. One questions the symptoms that might have let the lesion be defined and where is this nodule . Is it superficial, in the abdominal cavity, palpated on neck exam or where else was the lesion defined. If there is suspicion of malignancy then bx. ...Read more

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Diagnostic mammo & ultrasound found mass of breast lumps containing fluid, but 1 had fluid & debris. What does this mean?

Diagnostic mammo &  ultrasound  found  mass of breast lumps containing fluid, but 1 had fluid & debris. What does this mean?

Hemorrhagic Cyst: It is important to know that all of the "lumps" were either simple or minimally complex cysts. Please verify that with your doctor. Assuming that is true, the cyst containing fluid and debris is called a minimally complex cyst, and these are often due to hemorrhage. Clotted blood in the cyst is mostly water (the fluid part) and the clot (cells) are the debris. ...Read more

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My daughter diagnosed Complex Ovarian Cyst with septation and debris. 4.3 cyst. Pain and fear. Do these cyst normslly require surgery?

My daughter diagnosed Complex Ovarian Cyst with septation and debris. 4.3 cyst. Pain and fear. Do these cyst normslly require surgery?

No: Most of the time in young women these cysts are functional/hemorrhagic cysts and resolve by themselves. If they keep enlarging, or become more symptomatic, surgery may be indicated. If there are imaging features suggestive of tumor rather than just hemorrhagic cyst surgery might also be indicated. ...Read more

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I have a complex ovarian cyst with septations and debris about 14ml in volume. It was 7ml 3 months ago. It's now pressing against my colon. Treatment?

I have a complex ovarian cyst with septations and debris about 14ml in volume. It was 7ml 3 months ago. It's now pressing against my colon. Treatment?

Talk to your GYN: Your personal GYN can best answer for your specific case, but generally if the cyst is enlarging and causing symptoms by pressing against your colon it may be best treated surgically. See link for more information on ovarian cysts. http://www.uptodate.com/contents/ovarian-cysts-beyond-the-basics ...Read more

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Well circumscribed hypoechoic 4.8 cm cystic mass. Thickened internal septations, perifpheral mural nodularity and calcification. Pain upper abdomen.

Well circumscribed hypoechoic 4.8 cm cystic mass.  Thickened internal septations, perifpheral mural nodularity and calcification. Pain upper abdomen.

Ovarian: I assume the report is describing an ovarian cyst which may be fluid filled. If so, your gynecologist is best qualified to evaluate and advise you. It is not clear if this is the cause of your abdominal discomfort since the discomfort is not in the pelvic area. Other imaging studies may be recommended. ...Read more

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My 11 year old had a pelvic US that found a 11cm x 7cm x 11cm ovarian mass. Report states complex cystic and solid mass with internal septation and a solid component. Solid component approx 4.4cm w/ surface nodularity. Should I assume cancer?

My 11 year old had a pelvic US that found a 11cm x 7cm x 11cm ovarian mass. Report states complex cystic and solid mass with internal septation and a solid component. Solid component approx 4.4cm w/ surface nodularity. Should I assume cancer?

Mass: There are several causes for ovarian masses including benign (not cancer) and malignant (cancerous). Blood work called tumor markers can sometimes help your doctors clinical suspicion but the only definitive way to diagnose is to remove the mass and have the pathologist review the specimen. ...Read more

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A pelvic scan revealed an ovarian cysts of 4.8cm X 3.5cm with internal echogenic debris. I have slight pressure pain. Will this go away on its own?

A pelvic scan revealed an ovarian cysts of 4.8cm X 3.5cm with internal echogenic debris. I have slight pressure pain. Will this go away on its own?

If it ruptures: If the ovarian cyst ruptures then it might go away on its own. However, the size is very small and you may benefit from oral hormonal suppression by your MD. ...Read more

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