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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does the following Ultrasound Test Result Mean?

I have a complex heterogenous cyst on my right ovary. On ultrasound it has internal echos and prominent peripheral vascularity. Based on this information what type of cyst is most likely..hemorraghic, endometrioma, carncerious. I am 27 years old, never pregnant, with history of emdometriosis
Thu, 28 May 2015
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Radiologist,  's  Response
Hello thanks for writing to HCM.
The differential diagnosis for a heterogenous ovarian cyst covers a wide spectrum, however majority are non-cancerous.
For the description provided, I will think about a hemorrhagic corpus luteal cyst(which is the residual appearance of a follicle that has ruptured).
Other possibilities are endometrioma or a dermoid.
With the features provided it is not possible to differentiate a hemorrhagic cyst and endometrioma.
A followup ultrasound will help - see resolution in case of hemorrhagic cysts.
Also the cyst size is an important criteria to decide further management.

Do not worry. In the absence of any symptoms, a followup scan in 6-8 weeks is all that is needed.
Do write in again if you have any doubts. Bye.

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What Does the following Ultrasound Test Result Mean?

Hello thanks for writing to HCM. The differential diagnosis for a heterogenous ovarian cyst covers a wide spectrum, however majority are non-cancerous. For the description provided, I will think about a hemorrhagic corpus luteal cyst(which is the residual appearance of a follicle that has ruptured). Other possibilities are endometrioma or a dermoid. With the features provided it is not possible to differentiate a hemorrhagic cyst and endometrioma. A followup ultrasound will help - see resolution in case of hemorrhagic cysts. Also the cyst size is an important criteria to decide further management. Do not worry. In the absence of any symptoms, a followup scan in 6-8 weeks is all that is needed. Do write in again if you have any doubts. Bye.