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Functional cyst in right ovary - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 352 Questions
User :   I am wondering if a high red blood cell count has anything to do with ovarian cysts or ovarian cancer. My family practioner had me do an ABG (or APG) test and the results came back at 104. I have several cysts on my right ovary that showed peripheral enhancement.
Doctor :   Hi
User :   Hello
Doctor :   May I know your age?
User :   30
Doctor :   High blood count is not related to ovarian cyst or ovarian cancer.
User :   what is it related to?
Doctor :   High RBC count known are polycythemia, the causes are of two types.
Doctor :   1. where the cause is not known referred to as polycythemia vera.
Doctor :   2. Where certain conditions are causing the rise in the counts.
User :   The doctor thought it could be because I smoke but when the report came back at 104 so she said that smoking was not the reason.
Doctor :   It is seen in physiologically in atheletes, people staying at hill stations,
User :   I am by no means and athlete. Not overweight though either. I'm 5.5" and 135lbs.
Doctor :   conditions which can cause hypoxia, like
Doctor :   cardiac conditions, lung conditions.
Doctor :   Heavy smoking can induce changes in the lungs
User :   Does the term peripheral enhancement necesssarily mean cancer? When I look at it on the internet it relates it to cancer.
Doctor :   which can lower the oxygen absorption functions (hypoxia)
User :   why would the level be continuously going up though? She tested 5 weeks apart
Doctor :   Periperal enhancement of what?
Doctor :   Which level are you talking about?
User :   the level of the rbc count
Doctor :   May I know the values of the RBC count measured on both the occasions?
User :   I'm sorry, I know that this all confusing. The peripheral enhancement is what was seen on the ct scan. It read, several cysts on right ovary with peripheral enhancement. As for the RBC count, I did not know the exact reading. She just stated that the first time it was checked it was high and that she would retest in 5 weeks. When she retested she said that it was higher than the last reading. sorry to be so vague.
Doctor :   May I know the final impression of the CT abdomen and pelvis.
User :   I went to my gynecologist and with my past history of endometriosis and adhesions and continuously having pain on my right side he advised that I have lapaproscopic surgery to remove the ovary. scared that won't fix the problem and scared that it means cancer.
User :   I also had a partial hysterectomy in 2007.
Doctor :   There is always variations in the RBC counts due to subjective/objective variability.
Doctor :   This can explain why you are getting these differences.
Doctor :   Its necessary to know how much difference that one is finding in those reports to know if it is significant.
Doctor :   Since I do not know the values of those two counts, I cannot comment on what may be causing the rised RBC counts.
User :   when the gyn viewed the ct report he said that they were functional cyst and when I went back 1 week later for an intravaginal ultrasound they still saw several nodules on the ovaries. Can you comment about the term peripheral enhancement in relation to the ovary.
User :   I understand you not being able to comment about the RBC. I appreciate your assistance. I am more concerned about the possibility of cancer.
Doctor :   Endometrosis is a conditions where there is presence of the uterine epithelial cells out side the uterus.
Doctor :   They can occur in the cervix, the fallopian tubes, and ovaries too.
Doctor :   So it is possible that you may be having ovarian endometrosis,
Doctor :   It has to be removed surgically.
Doctor :   If not removed early there are possibilities that they can turn into malignancy.
Doctor :   This may be probably what the gynaecologist may be referring too.
User :   would the endometriosis be showing up as cysts or nodules?
User :   on a ct scan
Doctor :   However only a biopsy of the tissues following removal will indicate if is a cancerous lesion or a benign endometrosis lesion.
User :   but does peripheral enhancement typically mean cancerous?
Doctor :   Endometrosis appear more as a nodules.
Doctor :   The normally growing follicles can be seen as cyst on the scans.
Doctor :   Since I do not have the whole CT scan findings, it is difficult to pinpoint the exact impression.
Doctor :   One needs the whole CT scan findings to know the final impression.
Doctor :   The impression of the scan is given to you on the scan report.
Doctor :   If you can present to me the final impression that is been given to you, I would be able to assist you much better.
User :   That was all that was said. It listed all other organ as okay, uterus was absent, and appendix was not visualized.
Doctor :   The final impression will be typed at the end of the findings.
User :   have it here, i will type what was said
Doctor :   Ok
User :   left ovary appears normal, 3.3 cm x 1.5 cm. right ovary is larger, 4.5 cm x2.4 cm, containing several cysts, the largest of which is slightly irregular with peripheral enhancement, 2.2 cm diameter.
User :   Impression: User :   Normal appearance of urinary tract. Right ovarian cysts.
Doctor :   This report is not indicative of a ovarian cancer.
Doctor :   The peripheral enhancement is part of the growing cyst.
User :   So, I'm getting myself all worried for nothing? :) Why does peripheral enhancement say cancer every where on the internet? A ct scan would not produce a result of cancer though, correct?
Doctor :   I shall type the features of the ovarian cancers and shall explain it to you.
Doctor :   1. The shape of the ovaries are not maintained in a ovarian cancer.
User :   Hope I don't run out of money........ : - )
Doctor :   2. One sees the ovaries as a mass on the scans and not the ovaries in a ovarian cancers.
Doctor :   3. The cyst that you see, may not be clearly visualised on the scans.
Doctor :   However, a biopsy is needed to know if it is a simple functional cyst or a ovarian cancer.
Doctor :   This is possible only after the surgery.
Doctor :   Hence you would need the surgery, the removal of it and then the biopsy to confirm if they are not a malignant lesion.
Doctor :   Have you followed?
User :   my time is running out but thank you so much for your time. You have helped me a great deal in understanding the answers.
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
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