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Tennis ball sized cyst in ovary - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Vaginal and Uterus Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Hi i have a large ovary cyst on one of my ovary's and ive had 2 scans. one said a complex ovoid mass with thick walls and the other a complicated cyst with thin confused
Doctor :   Hi
User :   Hi
User :   Can you explain to me why I have 2 different resluts?
User :   results*
Doctor :   it could not be , a cyst can be easily differentiated from a solid mass
User :   what is the difference between a complex cyst and a complicated cyst
Doctor :   Complex cyst is one where the cyst locules , the shape , the cyst wall , and cyst components in different locules will be different ( Not uniform in appearance and structure )
User :   meaning???
Doctor :   Where as a complicated cyst is one where a typical cyst would have undergone secondary changes due to either infection or lack of blood supply
User :   its size is 7cms apparently
User :   i dont understand ur meaning of complex
Doctor :   In simple words a typical; cyst is one where there would be a single cavity , like a tennis ball
User :   its about tennis ball size,
Doctor :   and a complex cyst is one where it may have structure like a soap bubbles ( multiple cavities with difference in the thickness of the walls of each
User :   one says vascularity noted within the thickened wall.....whats this mean?
Doctor :   Vascularity means the blood vessels
User :   so whats it mean, is that bad havin blood vessels in it? the exact conclusion on the first report says: Doctor :   yes, there could be risks of bleeding into the cyst cavity by the vascularity present in the walls causing a complicated cyst ( hemorrhagic cyst )
Doctor :   the report means there is a mass in the left ovary which is not well defined ( may have many cavities and irregular shape )
Doctor :   adnexial region means the area of the ovary
User :   should i be worried about this??? as im a mum of 3 and play sport
Doctor :   free fluid in the intraperitonium ( its a space which is created by the folds of the peritoneum ( a membrane like layer covering most of the abdominal organs )
Doctor :   I would ask you to get better imaging studies like CT scan to know the exact extent and the appearance of the mass
User :   is it bad to have free fluid there? the other one says SMALL AMOUNT OF FREE FLUID IN THE POUCH
Doctor :   and go for Biopsy or FNAC studies to know the type and nature of the growth
User :   if u were my doctor....what would u think is was
Doctor :   No fluid in the pouch is not serious , it can also be seen normally after ovulation
User :   oh ok
Doctor :   it would require the tests i advised to have a confirmed comment on the prognosis / narture of the mass
User :   i guess im concerned about it being a tumor...... cancer
Doctor :   that could be well defined if the test i advised be done
User :   ok thank you
Doctor :   You are welcome
Doctor :   Thanks for consulting me
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