What Causes Ovarian Cysts With Internal Echoes And Septation?

Posted on Wed, 8 Jul 2015

Question: 55-yof s/p hysterectomy w/o oophorectomy. Currently, normal-appearing L ovary. 2.3 cm right ovarian cyst w/septation and internal echoes. No free fluid. Volume L ovary 5.238 cm3 and for R ovary 10.572 cm3. Family hx of ovarian cancer in sister. Please explain "septation", internal echoes and why would volume be double on the R as opposed to the Left. Have hepatomegaly and positive hemochromatosis gene. s/p reux-en-Y

Answered by Dr. Deepti Verma (16 minutes later)

Brief Answer:
Suggestive signs of ovarian cancer

Detailed Answer:
Hi XXXX, I have gone through your question and understand your concerns.Family history of ovarian cancer and present of left ovarian cyst with septations and internal echoes put you at high risk of ovarian cancer. Septations and internal echoes in an ovarian cyst can be due to the tissue bands formed and haemorrhage caused by malignancy (cancer) in the cyst, or it can be due to simple haemorrhage in the ovarian cyst, which can sometimes spontaneously occur. however, with a history of familial ovarian cancer, chances of malignancy are to be kept high.
Increased ovarian volume in right ovary can be present because of proliferation of malignant tissue in ovary or due to infection.Ovarian carcinoma can be present in both ovaries.
It is right management for you to go for a surgery and if cancer is found during surgery, then it can be modified accordingly followed by post operative management (chemotherapy, if required)
Hope you found the answer helpful. Please do get back for further queries.
Wishing you good health.
Regards,
Dr Deepti Verma.

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