WOMENS-HEALTH Messages for June, 2002: Re: Sonogram report! YIKES!!!

Re: Sonogram report! YIKES!!!

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 5 Jun 2002 10:34:05 -0500 (CDT)

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At Tue, 4 Jun 2002, erika wrote: >
>Had my 3rd sono now since early March. They have been watching a 2cm
>complex cyst of the left ovary (no right ovary had hyst). Recent
>findings are noted- Please help in what does this mean, and what should
>be my next step?
>
>:Left dominant complex ovarian cyst,still showing internal echogenicity
>and measuring larger in size from previous 2 u/s. The left dominant
>complex ovarian cyst had initially measured 2.2cm, then 1.8cm, and now
>measures 3.8cm. There is now a second left complex ovarian cyst which
>also has internal echogenicity that measures 2.ocm. There is a small
>amount of fluid in the cul-de-sac.
>
>:Conclusion: Adverse sonographic change. The larger left ovarian cyst
>has increased in size to 3.8 cm. A second cyst of 2.0 cm is now
>evident.
>Both cysts are complex in nature with internal echogenicity.
>
>I go now back to the specialist Thursday- but they have been watching it
>now for 3 months. Should I demand a biopsy, or am I overreacting? What
>does fluid in the cul-de-sac mean? Thanks for any replies.

My guess is that they are going to want to do something about this now. Watching was appropriate, but it is expanding, so it is time for treatment, probably a laparoscopy.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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