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Doctor insights on: Septated Ovarian Cystic Mass

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Dr. Mazen Ghani Dr. Ghani
Radiology
20 years in practice
Central University of the East School of Medicine (UCE)
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I have a complex cystic ovarian mass with mural nodularity measuring 4.1 cm. Is this suspicious for malignancy?

I have a complex cystic ovarian mass with mural nodularity measuring 4.1 cm. Is this suspicious for malignancy?

Possibly: A mural nodule may or may not be a sign of a malignant mass. This complex cyst should be followed with a pelvic ultrasound in 6-10 weeks. If still present or growing, consider a pelvic MRI without and with intravenous contrast. Please see your Gynecologist.

Dr. Creighton Wright Dr. Wright
Surgery
52 years in practice
Duke University School of Medicine
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Dr. Adriana Lopez Dr. Lopez
Obstetrics & Gynecology
5 years in practice
University of Texas Southwestern Medical School at Dallas
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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.

Dr. Tushar Patel Dr. Patel
Radiology
22 years in practice
UC Irvine School of Medicine
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Ct found ovarian cystic mass, does that mean a cyst. Can a CT scan tell the difference between a cyst and tumor? Worried about ovarian cancer.

Ct found ovarian cystic mass, does that mean a cyst. Can a CT scan tell the difference between a cyst and tumor? Worried about ovarian cancer.

Not necessarily: Ultrasound would be a more accurate test to evaluate the contents of an ovarian cyst. Ovarian cysts are common findings. You should see your gynecologist.

Dr. Liawaty Ho Dr. Ho
Internal Medicine - Hematology & Oncology
19 years in practice
Udayana University Faculty of Medicine
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Cystic mass by ovary and abduts to small bowel. Could this also be ovaian cancer. Seen on CT scan. 29 years old?

Cystic mass by ovary and abduts to small bowel. Could this also be ovaian cancer. Seen on CT scan. 29 years old?

Could be: You need more evaluation absolutely. See a gynecologist- and have further test- if it looks suspicious, your gynecologist likely will do a biopsy and if it is worrisome- then surgical removal.

Dr. Joseph Accurso Dr. Accurso
Radiology
25 years in practice
University at Buffalo, The State University of New York School of Medicine & Biomedical Sciences
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Are ovarian cystic masses common in women under 40?

Are ovarian cystic masses common in women under 40?

Cysts are: Women produce small cysts, called follicles, on their ovaries every month. Ovarian cysts are very common, especially women of reproductive age. The vast majority of ovarian cysts are benign. When there is a soft tissue component (a mass that is partially cystic), it generally becomes more concerning as the soft tissue percentage increases.

Dr. Oscar Novick Dr. Novick
Pediatrics
54 years in practice
University of Bern Faculty of Medicine
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Dr. Sandra Eleczko Dr. Eleczko
Dentistry
32 years in practice
University at Buffalo, The State University of New York School of Medicine & Biomedical Sciences
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Is an ovarian mass cancerous?

Is an ovarian mass cancerous?

Examination needed: It is only with an examination and possible biopsy that you will know the answer to your question. The sooner the better. Schedule an appointment today.

Dr. Paxton Daniel Dr. Daniel
Radiology
35 years in practice
University of Texas Medical School at Houston
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What is: "a septated cystic mass with low level echoes measuring 65x60x45mm seen in the left adnexal region. No obvious flows within.

Complex cyst: These are often cysts with blood products within them. The lack of blood flow is reassuring that there is no evidence of cancer. If you have no symptoms ask your doctor for a followup ultrasound after 3 cycles.

Dr. Gerard Honore Dr. Honore
Fertility Medicine
25 years in practice
Wake Forest University School of Medicine
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Can a cystic tumour be cancerous? 27cm septated ovarian cyst. Thanks

Can a cystic tumour be cancerous? 27cm septated ovarian cyst. Thanks

Yes: It can. It would be helpful to know your age and history to comment further. Septated cysts are also a malignancy risk but there are septated benign tumors too. Do you mean 27 cm or 27 mm? The smaller one 27 mm is fairly low risk regardless; if you mean the larger (27 cm) the risk is correspondingly higher. I hope this helps, good wishes.

Dr. James Ferguson Dr. Ferguson
Pediatrics
42 years in practice
University of Texas Medical Branch School of Medicine
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Poly cystic ovarian syndrome: can I still have a kid?

Poly cystic ovarian syndrome: can I still have a kid?

Many do: Pcos often interferes with fertility to some degree but effected women can and do have kids. It makes it a bit harder for you to control the where or when if you are not sure you are ovulating at a specific time. If you just let nature figure it out and don't worry about it it can happen (if your not using birth control).

Dr. Marvin Ott Dr. Ott
Emergency Medicine
16 years in practice
Northeastern Ohio Universities College of Medicine
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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!

Dr. Joseph Mele Dr. Mele
Surgery - Plastics
28 years in practice
UC Davis School of Medicine
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What does a complex cystic mass mean with multiple thicken septation?

What does a complex cystic mass mean with multiple thicken septation?

Visual description: A cyst is a single "bubble" like a balloon. The outer layer consists of cells and connective tissue. The center is not solid, instead of living cells the center is soft and filled with fluid or a thick cream. A complex cyst has dividers (septae) running through it, or can be thought of as a collection of cysts. It like a collection of balloons packed together.

Dr. Mark Kuhnke Dr. Kuhnke
Surgery
36 years in practice
Southern Illinois University School of Medicine
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I have a cystic mass in my right adnexea with an ap diameter of 35mm, what does it mean?

I have a cystic mass in my right adnexea with an ap diameter of 35mm, what does it mean?

Common: You have a small cystic mass, probably in your ovary. Usually related to post egg expulsion cyst (corpus luteum cyst.) probably self limited. If it causes symptoms alert your provider. Your doctor will keep this finding in mind, and may request a follow up sonogram or exam in the future. Good luck.

Dr. Myron Arlen Dr. Arlen
Surgery - Oncology
60 years in practice
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I have a 0.3x0 2x1.5 CM complex cystic mass with multiple thicken septation what does this means?

I have a 0.3x0 2x1.5 CM complex cystic mass with multiple thicken septation what does this means?

Potential Ca: I assume the cyst is ovarian in origin. Such cyst are epitherlial in origin and have potential to convert to Ca. Markers such as Ca 19.9 are only of value in monitoring and not for dx. If scans show lesion enlarging and if reaching 5 cm. Then resection indicated due to high rate of malignant transformation.

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Dr. Michael Ginsburg Dr. Ginsburg
Radiology - Interventional
8 years in practice
Loyola University Chicago Stritch School of Medicine
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How soon should a surgical intervention occur after receiving a diagnosis of a ovarian mass?

How soon should a surgical intervention occur after receiving a diagnosis of a ovarian mass?

Ovarian Mass Work Up: Ovarian mass presents a special diagnostic challenge, in part because benign etiologies greatly outnumber malignant ones. Determination of a degree of suspicion for malignancy is critical & is based largely on imaging appearance. Ultrasound is the most practical modality for initial assessment, while MRI is more accurate & can be performed when US is nondiagnostic or equivocal.

Dr. Aruna Adaikkalam Dr. Adaikkalam
Internal Medicine
34 years in practice
Madurai Kamaraj University Medical College
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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.

Dr. Clarence Grim Dr. Grim
Internal Medicine - Endocrinology
53 years in practice
University of Missouri-Columbia School of Medicine
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My right adnexal mass is at least partially cystic that demonstrates a homogenous fullness.... What does this mean?

My right adnexal mass is at least partially cystic that demonstrates a homogenous fullness.... What does this mean?

Adenexl fullness.: Comparing what this note means is a bit like tasting wine and telling others what you taste. So you need to talk to the examiner for a translation. My guess the area feels like there is more there than normal and it feels like there are some bubble like areas that could be cysts.