Are Pelvic Ultrasounds Accurate In Identifying Suspicious Cysts?

Posted on Thu, 9 Oct 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 9 Oct 2014 Answered on

Mon, 3 Nov 2014 Last reviewed on

Question : Are pelvic ultrasounds accurate in identifying suspiscous cysts ? What do they look fior that would make cysts more suspiscous than others? Are endomitrias a pre cancerous cyst? What happens if you do not remove endomitrias surgically.

Answered by Dr. Indu Kumar (1 hour later)

Brief Answer:
It may be cancerous in few cases.

Detailed Answer:
Hello XXXXXXX

Ultrasound (specially trans vaginal sonography)is very sensitive in identifying pelvis cysts.It can differentiate many features of cysts like whether it is simple or complex.Simple cysts are thin walled with clear fluid,whereas complex cysts have echogenic echoes,septations etc.
If cysts have nodules,solid mass etc in it then carcinoma should be excluded.
Carcinoma should be excluded in all doubtful and risky cases.
Endometrioma can be cancerous in few cases.

Endometrioma is also a type of complex cyst and majority of complex cysts get resolve after some time.Patient only need conservative treatment.

In you case,workup for malignancy should be done and if it is negative then only follow up ultrasound is required.

Get well soon.
Hope i have answered your query.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar