WOMENS-HEALTH Messages for June, 2001: Ultrasound difference between a functional cyst & a neoplasm

Ultrasound difference between a functional cyst & a neoplasm

From: Alice (anonymous@obgyn.net)
Wed, 6 Jun 2001 10:19:41 -0500 (CDT)

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I recently had and ultrasound to check for possible physical problems causing periodic, intense menstrual cramps. The test showed a small polyp. My regular physician sent me to a gynecologist for further evaluation. Although he did not feel the polyp was a problem, he did find a large cyst on my right ovary which had not been there when the ultrasound was done one month earlier. After doing another ultrasound in his office, he thought it was a multiloculated cystadenoma. He could see septations in the cyst. For this type of cyst, he recommended that it be removed very soon. He sent me for another ultrasound at the women’s health center (which has better equipment than his office utlrasound). Based on the results, he is now recommending that I have another ultrasound done in 8 weeks to see if the cyst changes. Although I either had not paid attention to it or was not having any pain from the cyst prior to the doctor’s exam, I have had some mild to moderate pain (fairly continuous) since then in my right ovary.

Results of ultrasound: “5.7 cm complex cystic structure with septations. Additionally, there is more echogenic material in the dependent portions. This is most consistent with a hemorrhagic cyst. However differential diagnosis would include infection or an endometrioma.” The report recommended a follow-up ultrasound.

Additional findings: “There is a tiny 5.0 mm echogenic focus within the endocervical canal or lower uterine segment. This is of unknown etiology but could represent mucous of a polyp.”

Question: If the cyst had been a cystadenoma, how would it have appeared differently on the ultrasound? Any other comments or suggestions on the cyst and/or treatment would be appreciated.

--
Alice R.

Next message: D.J.: "Genital Warts"
Previous message: linda: "heavy menstral period, starting menopause??"
Next in thread: Lynn D. Montgomery, MD: "Re: Ultrasound difference between a functional cyst & a neoplasm"
Reply: Lynn D. Montgomery, MD: "Re: Ultrasound difference between a functional cyst & a neoplasm"

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