WOMENS-HEALTH Messages for February, 2002: Re: Why a Dermoid Diagnosis?

Re: Why a Dermoid Diagnosis?

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 28 Feb 2002 12:41:10 -0600 (CST)

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In reply to: Simone: "Why a Dermoid Diagnosis?"

At Thu, 28 Feb 2002, Simone wrote: >
>Dr.,
>
>I am 38 years old, have never given birth and as far as I know, am in
>good health.
>
>I visited my gyn. last week because I believe I'm experiencing symptoms
>of perimenopause; heart palpitations, bloating and night sweats. She
>said I was too young but ordered a pelvic US with transvaginal follow-up
>to check the lining of my uterus. The US revealed a .57 cm.
>calcification in my left ovary (also a fibroid which I knew I had). My
>doctor believes the calcificationis indicative of a dermoid tumor and
>has scheduled a diagnostic laparoscopy with possible cystectomy or
>removal of part of the ovary. Below is the US report, however my
>questions are 1) why a dermoid if there is no mention of a "mass" shown
>in the ovary?

Ultrasound is not omniscient. Things are missed.

2) If there is a dermoid present, wouldn't my left ovary >measure larger than the right?

Not necessarily. Depends on the size of the Dermoid

3) Do the measurements noted seem within >normal range?

Yes.

I realize this is a bit long and I apologize for that. Any >insight you could provide would be greatly appreciated.
>
>REPORT: Multiple sections were obtained which revealed the uterus to
>measure
>8.90 x 4.22 x 5.13 cm. There is a small 2.02 x 1.86 x 2.41 cm fibroid
>anteriorly. The right ovary measures 3.74 x 2.42 x 3.21 cm and the left
>ovary measures 3.11 x 2.76 x 2.29 cm. It contains a .57 cm
>calcification within it. No fluid is identified in the pelvis.
>
>IMPRESSION: 1. Small anterior fibroid which has increased slightly from
>8/2000 2. A 5.7 mm calcification in the left ovary which vaguely was
>defined 8/2000 but larger on the current examination. A neoplastic
>process here not excluded.

I would need to see the pictures to have any real notion of what wasw happening.

--
R.Daniel Braun, MD  FACOG   FOG
**Note:  Opinions expressed here are for educational purposes only
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Next message: Janice: "Re: RLQpain and nausea, off to the GYN"
Previous message: Courtney: "Re: late period"
In reply to: Simone: "Why a Dermoid Diagnosis?"

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