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

Re: Ultrasound difference between a functional cyst & a neoplasm

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 6 Jun 2001 12:57:57 -0500 (CDT)

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In reply to: Alice: "Ultrasound difference between a functional cyst & a neoplasm"

At Wed, 6 Jun 2001, Alice wrote: >
>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.
>

Alice, It would be very difficult to differentiate the exact type of cyst represented by ultrasound. A cystadenoma would have a similar appearance. However, the most common cyst is either a hemorrhagic or functional cyst. It is prudent to observe the cyst and repeat the ultrasound in a couple of months. Most of them will go away... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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