HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Is An Enlarged Ovary With Heterogeneous Texture A Sign Of Ovarian Cancer?

Posted on Mon, 21 Dec 2015

Question: Hello I have had a transvaginal scan and it showed enlarged ovary with heterogenous texture ? I am so scared as have googled and all it says is suspicious.i am so scared I have ovarian cancer.is there any benign tumours which could give these heterogenous textures too.i can't sleep or eat for worrying please help thankyou XXXXXXX i am 48 and still menstruating.

Answered by Dr. Manisha Jain (1 minute later)

Brief Answer:
Reason for ultrasound needed

Detailed Answer:
Hello mam, thanks for trusting health care magic.
Yes mam there are numerous benign lesions which can cause such a picture.
I understand your anxiety related to the issue but there is no need to be this anxious before a proper diagnosis is established.
I would like to know what were the symptoms for which you got ultrasound done and any other investigation if done along.
Waiting for your response so that I can advise you better.
Regards
Dr Manisha

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

Follow up: Dr. Manisha Jain (20 minutes later)

Thank you is there that's reassured me so much !!! Could you tell me a couple of reasons why my ovary is enlarged with this heterogenous texture please? I went to the dr as I had a 3.5 week period in October and he sent me for the scan.novembers period lasted 7 days which is normal for me.i do need a wee frequently but this maybe due to enlarged ovary? My other ovary said enlarged with two simple cysts.and have a 2.5cm fibroid.there was no free fluid in my pelvis and uterus and lining all normal.why does it say on google all heterogenous textures on enlarged ovaries are suspicious it doesn't say anywhere that it can just be normal.thankyou so much XXXXXXX

Answered by Dr. Manisha Jain (4 hours later)

Brief Answer:
CA 125 levels advised

Detailed Answer:
Sorry for the delay in response Mitchelle, I got struck in an emergency.
At your age no symptom or finding should be left unattended basically so suspicion is just to rule out the definite but less common reasons for enlarged ovaries.
Most common reason in your case is either an endometrioma or a benign cystadenoma.
But both cannot be diagnosed without proper work up so you need to get a CA 125 levels fine and then let's see what is the report and decide further management.
Take care

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

Follow up: Dr. Manisha Jain (2 hours later)

Thankyou.do dermoid cysts too have these heterogenous textures on ultrasound ? my tummy is flat no bloating and no sickness etc I just have a urge to wee frequently.i feel very scared but know they are just following all procedures.i look on google and all I see is cancerous rumours for heterogenous textures in enlarged ovary ?

Answered by Dr. Manisha Jain (10 hours later)

Brief Answer:
Not related most likely

Detailed Answer:
Yes dermoid cyst can give similar appearance bit dermoid is uncommon after 25 years of age and it has hair and tooth like calcified structure which is easily visible on ultrasound.
Increased frequency of micturition can be due to urine infection or just your anxiety and also seen in cold weather at times.
So don't be anxious while related both these things.
Just get CA 125 levels done and let me know the levels
Take care

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

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