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Doctor insights on:
Tests To Diagnose A Hernia Or Ovarian Cysts In Women
1
Can small ovarian cysts go undetected in an external ultrasound and pelvic exam?

Maybe: Small ovarian cysts may not be detected but usually are not clinically significant. Usually can detect ovarian cysts of 3-4 mm in diameter with good diagnostic ultrasound. ...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
2
Can you see ovarian cancer in a laparoscopy?

Sometimes: During laparoscopy the surgeon is able to directly visualize the pelvic organs. Sometimes a malignant tumor is obvious just by looking. In other cases the cancer is microscopic so to make the diagnosis the organ or part of it must be removed so that the tissue can be examined under a microscope. ...Read more
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3
GYN-I have simple ovarian cyst and sm fibroids. Severe pelvic/rectal pain. Why is my GYN testing CA-125 if the test is not conclusive detecting CANCER?

Discuss with GYN: No tumor marker is conclusive of cancer. You would need to discuss this with your GYN as to why they feel the need to check a CA-125. They may just be trying to be thorough in your evaluation. ...Read more
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4
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 more
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5
Can breast cancer cause breast cysts to develop? I know it's rare for cancer in a cyst, but can a tumor be the cause of a simple cyst?

It's possible: A breast cancer may exist in a cyst if there is a mass in the cyst or in the wall of the cyst. A simple cyst is unlikely to be cancerous. Usually cancerous cysts are complex and may have separations within it. In any event either removal, aspiration with follow up, or repeat imaging my be needed to ensure the cyst is not cancerous. ...Read more
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6
Can a radiologist see if there is something wrong with a women's reproductive organs and conditions in the reproductive area with a pelvic ultrasound?

Pelvis: A pelvic ultrasound is one method of diagnosing disease of the pelvis however it does not diagnose all diseases in that area and other tests may be required ...Read more
7
What can you expect in an ultrasound for ovarian cysts?

Answers: When an a woman presents with pelvic pain or a pelvic mass, the doctor may suspect an ovarian cyst. Usually a pelvic ultrasound will be ordered. At the time of the ultrasound, warm gel is placed on the lower abdomen while the tech observes the screen. Vaginal ultrasound is often done too for a better view of the ovaries. ...Read more
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8
On an HSG test can you see abnormalities in the uterus ? For example , endometriosis? Or signs of uterine cancer?

Some: You can see polyps or fibroids that are inside the uterine cavity. You can also see an abnormally shaped uterus. But you cannot see endometriosis or cancer. You might see damaged tubes and endometriosis is a common cause for that. ...Read more
9
Does an ovarian cyst larger than 6 CM have to be removed if you have a history of ovarian cancer in your family? The cyst has enlarged over 3 months.

Ovarian cyst: Ovarian cancer can present as cystic lesion .It is sometimes not easy to differentiate benign cyst to malignant cyst. Thus, if the cyst is big and growing-a surgical resection should be seriously considered. Talk to your gynecology oncologist and discuss more in regard to surgery etc. The risk for you is even more significant with the positive family history of ovarian cancer. Good luck. ...Read more
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10
Does a paraovarian cyst mimic an ectopic pregnancy? Or are they easily distinguishable on ultrasound?

Essentially you can: Distinguish the two, but could depend on how well you see it. Any time you are pregnant and do not have an intrauterine pregnancy, then ectopic cannot be excluded. The next thing you look for is a mass outside the ovary. In general, it is pretty easy to tell if it is a paraovarian cyst or something more ominous, but certainly not 100% of the time. ...Read more
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11
Can a fat containing bochdalek hernia cause pain in an adult? Can the hernia be larger than suspected on ct scan? Can ct miss organ entrapment?

Bochdalek hernias: presenting in adulthood are relatively rare, and of those, it is relatively rare to have symptoms. But, symptoms such as pain can occur, and would depend on size and other factors. CT provides fairly exact measurements, although it is possible that physiologic factors could cause temporary size changes. CT will not miss organ entrapment. ...Read more
12
How often do radiologists miss the mass and get other tissue during an ultrasound guided biopsy for a small(7mm) breast mass? Is this common?

No: The diagnostic accuracy of ultrasound guided breast biopsy is 94.7%. Here is a reference: http://www.Ncbi.Nlm.Nih.Gov/pubmed/21215163. ...Read more
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13
I'm only 35, but i got renal cysts in both kidneys, hepatic cysts, ovarian cysts... Is there a common reason that contributes to such cyst growth?

Usually not: Cysts in multiple organs are usually not caused by a common reason. ...Read more
14
How can I tell if the two ovarian masses that were discovered in a transvaginal ultrasound are malignant?

You can't: Most commonly, if ovarian masses are discovered on ultrasound, they are followed at 2-3 month intervals. If they grow over time, your gyn may consider removing them. If they stay stable in size or shrink, they are not malignant. If you have a family history of ovarian (or breast) cancer, or if you have certain genetic markers, your dr. May be more aggressive in removing the ovary. ...Read more
15
How accurate is a 2d ultrasound at diagnosing gynecological issues like pcos, fibroids, cysts, endometriosis, etc...?

Depends: Cysts and fibroids are easy to see. Endometriosis is not diagnosed by ultrasound. Pcos is diagnosed by medical history and lab work using an ultrasound as supplemental evidence. ...Read more
16
Will pelvic ultrasound show abnormalities in you bladder as well as in your reproductive organs? Having urinary sxs and have a cyst on ovary.

Yes: An ultrasound is the best imaging study to look at the pelvic organs (tubes, ovaries and uterus). An ultrasound can be used to evaluate bladder. A doctor wanting to evaluate the bladder, may also use cystoscopy, or putting a camera into the bladder and examining the walls of the bladder directly. A cyst on the ovary won't typically affect bladder at all unless it's cancer, worried about growth. ...Read more
17
Can a ruptured ovarian cyst cause a late period? An ultrasound showed alot of fluid in my uterine cavity. Enough pain for er visit.

YES: YES; however, if you are having unprotected sexual intercourse, please get a pregnancy test. I suggest close follow up with your GYN. ...Read more
18
Would a transvaginal pelvic scan be enough to know if I have polycystic ovarian syndrome, or endeomitritis?

It would help: In additon to a history and physical exam, it would help. ...Read more
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19
Confused and getting conflicting answers. Can ovary enlarge due to ovarian cancer without a mass?

Not likely: There are no easy ways to make a diagnosis of early ovarian cancer. Majority of ovarian cancers are complex cystic. Homogenous bilateral ovarian enlargement without other findings is probably not due to cancer. ...Read more
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20
Can an ovarian cyst cause urinary tract infections? Have gotten a UTI two months in a row following growth and pain in ovarian cyst.

It is unlikely: that an ovarian cyst will cause a UTI. However, some women may experience similar symptoms which may be mistaken for a UTI. Careful testing of the urine is required to rule out UTI. It is easy to overdiagnose UTI. I hope you feel better soon ...Read more
Ovarian Cyst (Definition)
A condition in which a growth (often balloon-like, thin-walled, and filled with fluid) arises on an ovary (the female ...Read more
Hernia (Definition)
A condition that occurs when part of the stomach bulges into the chest. It can cause severe ...Read more
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