Re: altrasound report: what kind of ovary cyst it is ? I'm a little scared?
From: D.N. (anonymous@obgyn.net)
Thu Sep 5 14:50:19 2002
Hi,
You could try posing this question on the Women's forum. Docs don't
answer questions here.
Best wishes,
D.N.
At Thu, 5 Sep 2002, anonymous wrote:
>
>Hi, All;
>I was found out ovary cyst this July, the follow up exam indicates
>enlarged cysts (5.4 cm) and more complicated appearance in the ovary.
>They doubt it's a complicated or hemorrhagic cyst or endometrioma cyst.
>
>I here paste the details in the two reports. sorry about the mess.
>What's the worst case it could happen? On Sep.9, I'm gonna see a OB/GYN,
>if she suggest to
>do surgery, should I do it? I am 26, I want to have child in the futre.
>
>Thanks for any comment and suggestion.
>----------------------------------
>---- my first altrasound report:
>----------------------------------
>----------------------------------
>----------------------------------
>1. enlarged left ovary secondary to a hemorrhagic cyst or endometrima.
>----------------------------------
>Follow up ultrasound in 4-6 weeks would be helpful to demonstrate
>----------------------------------
>resolution of this finding.
>----------------------------------
>----my second altrasound report:
>1. enlarged left ovary with complex appearance and enlargement of
>previously described intermediate level echo texture structure again
>possibly representing a complicated or hemorrhagic cyst or endometrioma
>but interval enlargement is noted and in addition an adjacent second
>smaller rounded intermediate level echo structure in now identified.
>Follow up evaluation of the left ovary is recommended.
>2. small uterine fibroid with uterus otherwise unremarkable in
>appearance as is the right ovary.
>
>-----Details of the second report:
>1. endovaginal ultrasound demonstrates complex appearance of the left
>ovary with only a small amount of normal ovarian tissue seen
>posteriorly.
>2. There is a large intermediate level echo structure, which again may
>represent complicated cyst or possibly endometrioma, which has
>demonstrated mild interval increase in size in comparison to patient’s
>prior study currently measuring 5.4 cm in greatest length.
>3. There is an adjacent slightly irregular cyst with second smaller
>ovoid similar structure of intermediate echo texture measuring 2 cm in
>greatest dimension.
>4. Doppler flow is identified within the thin layer of normal appearing
>left ovary along the posterior surface of the previously described
>adjacent soft tissue structure again either representing complicated
>cyst or possibly endometrioma with additional follow up recommended to
>re-evaluate.
>5. right ovary is identified with small appearing cysts identified. The
>right ovary measures 2.6*2.4*2.2cm. small blunted hypoechoic structure
>is seen within the posterior body of the uterus compatible with a small
>fibroid, which was not noted on the prior exam. The endometrial stipe
>appears to drape over this region but is otherwise unremarkable with
>endometrial stripe measuring 7.6 mm at its thickest. The remainder of
>the uterus is unremarkable. There is no evidence for free fluid.
![[ endo@obgyn.net ]](../../images/endo_at_obgyn.gif)