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What Do My Ultrasound Test Results Indicate?
Question: -I had a pelvic ultrasound and the findings were Enlarged heterogeneous left ovary likely containing a mass but not differentiated from the ovary itself on the current study. My primary didn't say anything. Just left results w her receptionist for me. I am about to start period soon. Should I request more tests? Should I be concerned? Please advise. Is this common right before period?
Brief Answer:
the mass can be a ovarian tumour...needs to be ruled out
Detailed Answer:
Hello,
Thanks for the query to hcm,
A enlarged ovary with a mass undifferentiated and not separate from ovary indicates a ovarian mass which needs to be differentiated between a tumour or a cyst ( endometriotic or follicular). Such isolated masses in ovaries are unlikely and if they have grown recently then the concern is that it may be a ovarian cancer. So the next step would be to opt for a CT SCAN pelvis which can delineate the ovarian margins and that of mass clearly and would be able to comment on its complexity, with or without septations or any surrounding invasions. Post that a set of tumour markers should be opted for like CA125, CEA, AFP, BETA HCG and CA 19.9 (which is specific for ovarian tumour). If the levels are high , then this is an ovarian carcinoma and then shall need management by a gyn-oncologist.
So please get yourself a CT SCAN done and tumour markers.
Regards
the mass can be a ovarian tumour...needs to be ruled out
Detailed Answer:
Hello,
Thanks for the query to hcm,
A enlarged ovary with a mass undifferentiated and not separate from ovary indicates a ovarian mass which needs to be differentiated between a tumour or a cyst ( endometriotic or follicular). Such isolated masses in ovaries are unlikely and if they have grown recently then the concern is that it may be a ovarian cancer. So the next step would be to opt for a CT SCAN pelvis which can delineate the ovarian margins and that of mass clearly and would be able to comment on its complexity, with or without septations or any surrounding invasions. Post that a set of tumour markers should be opted for like CA125, CEA, AFP, BETA HCG and CA 19.9 (which is specific for ovarian tumour). If the levels are high , then this is an ovarian carcinoma and then shall need management by a gyn-oncologist.
So please get yourself a CT SCAN done and tumour markers.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I will request one with my primary. Is there any way that this could be nothing to be concerned about? I am really scared now.
Brief Answer:
answered
Detailed Answer:
As you have not mentioned the size of the ovarian mass and also the ultrasound report is not available to review at my end, for the description of mass in terms of complex madd, echogenicity and septations would be informative in offering you a more focussed diagnosis with regards to it being a tumour or not but as you mentioned that its an enlarged mass ( size???), not separate from ovary of one side, the other being normal, so it does indicate a possibility of a tumour which can be benign or malignant, that would need to be evaluated and it should be.
The other differential being endometrioma would have normal tumour markers, which is a benign ovarian mass and can be just removed laparoscopically. Hence evaluation in detail is requested and you should discuss it with your primary.
If possible please attach the ultrasound report for my review.
Regards
answered
Detailed Answer:
As you have not mentioned the size of the ovarian mass and also the ultrasound report is not available to review at my end, for the description of mass in terms of complex madd, echogenicity and septations would be informative in offering you a more focussed diagnosis with regards to it being a tumour or not but as you mentioned that its an enlarged mass ( size???), not separate from ovary of one side, the other being normal, so it does indicate a possibility of a tumour which can be benign or malignant, that would need to be evaluated and it should be.
The other differential being endometrioma would have normal tumour markers, which is a benign ovarian mass and can be just removed laparoscopically. Hence evaluation in detail is requested and you should discuss it with your primary.
If possible please attach the ultrasound report for my review.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
It says
The right ovary measures 3.1 x 1.6x 2.4 cm. the left ovary is enlarged and heterogeneous in echo texture measuring 5.6 x 3.4x 4.1 cm a mass is suspected in left ovary but not well valuated on the current study.
Not well drifters toasted from ovary itself on current study.
Could this perhaps be normal right before period? I am going to get further testing but do you think this really could be cancer?
The right ovary measures 3.1 x 1.6x 2.4 cm. the left ovary is enlarged and heterogeneous in echo texture measuring 5.6 x 3.4x 4.1 cm a mass is suspected in left ovary but not well valuated on the current study.
Not well drifters toasted from ovary itself on current study.
Could this perhaps be normal right before period? I am going to get further testing but do you think this really could be cancer?
Brief Answer:
it may be possible, yes..
Detailed Answer:
The right ovary is more than 5 cm enlarged which is not normal indeed and hence as mentioned there is a mass which is suspected, but not mentioned if its a solid mass or not,which is one of the factors for a tumour.
So i feel a superior investigation is mandatory and its difficult to comment with this report. The mass can be just an endometriotic cyst if its soft and shows homogenous echoes, but it has to be proved so.
though your age doesn't favour an ovarian carcinoma but it nevertheless has to be ruled out with investigations, so please don't panic right now, just get further evaluation done. Everything can be managed.
Do follow up with reports and views.
it may be possible, yes..
Detailed Answer:
The right ovary is more than 5 cm enlarged which is not normal indeed and hence as mentioned there is a mass which is suspected, but not mentioned if its a solid mass or not,which is one of the factors for a tumour.
So i feel a superior investigation is mandatory and its difficult to comment with this report. The mass can be just an endometriotic cyst if its soft and shows homogenous echoes, but it has to be proved so.
though your age doesn't favour an ovarian carcinoma but it nevertheless has to be ruled out with investigations, so please don't panic right now, just get further evaluation done. Everything can be managed.
Do follow up with reports and views.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
You mean left ovary.
Brief Answer:
the left ovary yes.
Detailed Answer:
I am sorry, yes its the left ovary which i mean which is more than 5cm in size and its not normal after periods in any case as even if we are considering it to be a corpus luteum cyst which has persisted but it would show low internal echoes on USG.
iT IS BETTER TO GET A REPEAT ULTRASOUND from a reliable diagnostic centre if CT scan is not possible at present.
the left ovary yes.
Detailed Answer:
I am sorry, yes its the left ovary which i mean which is more than 5cm in size and its not normal after periods in any case as even if we are considering it to be a corpus luteum cyst which has persisted but it would show low internal echoes on USG.
iT IS BETTER TO GET A REPEAT ULTRASOUND from a reliable diagnostic centre if CT scan is not possible at present.
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
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