Doctor insights on:
Unilateral Ovarian Agenesis
Not known!: Hello, we don't know why ovaries make their cysts. Seems that they are a very active organ, what with making eggs and hormones, and sometimes the egg-making cells just overgrow and become a dermoid cyst, complete with hair, skin, and other cells that the 'germ cell' (egg producing cell) has in it's potential. Wierd, huh! they are benign, but don't go away without surgery, and can be recurrent. ...Read more
See answer: 1) ~15-20% of males have a varicocele; most common on left side; almost always asymptomatic requiring no treatment; except can be associated with infertility in small % especially if testicular size is small. 2) testicular microlithiasis: ~5% of males; asymptomatic requiring no treatment except regular self-exam for testicular mass because of weak association with testicular cancer. See urologist. ...Read more
Embryonic cells: Ectodermal embryonic cells enclosed into the ovary at early formation "get activated" later in life producing dermoid cysts, that can contain hair and teeth when surgically removed and opened. ...Read more
Bilateral probable complex cystic structures prob associated debris (blood flow noted) in the ovaries suggestive of bilateral hemorrhagic cysts.
Most likely: If bilateral, the hemorrhagic cysts are more likely to be endometriomas. ...Read more
See MD: A complex mass at any time is concerning-but more so after menopause. It may have been there for years and be totally benign, but most mds will be worried about a complex mass. A ca125 and he4 test can help decide whether to go to surgery now or closely watching with follow up ultrasound. If it is more than 5 cm or there are other worrisome looking signs on ultrasound, surgery will be necessary. ...Read more
Normal: Sounds like you have been reading an ultrasound report? Bilateral means "both sides, right and left" and follicles are normal ovarian cysts, where eggs live. The word functional is redundant here, but also describes a normal ovarian finding. ...Read more
Complex cystic lesion rt ovary within is focal septated cystic structure color dop. Eval. Dem. Arterial blood in septations. Cystic ovarian neoplasm?
No: A simple cyst has a very specific benign appearance, while a cystadenocarcinoma usually has characteristics that are pathognomonic for a complex mass. A benign hemorrhagic cyst may resemble a worrisome cystadenoca. If you are worried about an ovarian cyst, talk to your doctor. You can do an ultrasound in 4-6 weeks. If it is a cancer, it will not be the same size or have the same characteristics. ...Read more
L salpingo oophorectomy for simple cyst & pain. 5mos later, new onset R ovarian complex cyst w/ septation, uterine fibroid & 10mm L4 lesion. Cancer?
An unbalanced ovary: Often times if an ovary or fallopian tube are unbalanced due to a cyst in either structure, the ovary or tube can twist on its blood supply, causing ovarian torsion. This can be detected with a pelvic ultrasound. Ovarian torsion usually occurs with abdominal and pelvic pain. ...Read more
Possibly: The word complex is thrown around a lot in ultrasound but it is actually pretty worthless. There are things that look "complex" but are benign and can easily be identified as such and similar with malignant lesions. It really depends what it actually looks like. Were there any other descriptors of the lesion. ...Read moreSee 1 more doctor answer
No: The term complex ovarian cyst indicates that an imaging study, usually ultrasound, shows a cyst with internal echoes, septation, or irregular or thickened cyst walls. They should be aggressively investigated as some of these cysts may be cancerous. Polycystic ovaries are usually enlarged and contain multiple small cysts just under the surface of the ovary. They mainly produce hormone imbalances. ...Read moreSee 2 more doctor answers
Unknown: Tearatomas arise from multipotential germ cells. What causes them is unknown. They can contain any type of body structure or organ. One old theory was that they were an undiagnosed twin within the baby that was born. The cystic fluid is skin oil from skin appendages, which are common. ...Read more
Need more details: I highly recommend you consult your oncology team and get evaluated by a gynecology oncologist. Since you are <50, it makes me concerned about a brca mutations (if you have not been tested, then get tested!). Ovarian cancer and breast cancer can be related, especially if brca is positive. If you have a estrogen positive tumor, then stopping the ovaries from making hormone may be beneficial. ...Read more