Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
141 Doctors are Online

What does "right ovarian cyst consistent with a follicle 2.7 x 2.3 x 2.8" mean?

Apr 2013
User rating for this question
Answered by

General Surgeon
Practicing since : 2009
Answered : 5641 Questions
I would like to know in laymans terms what my ultrasound report means. I do have a wonderful doctor but I don't see him for 2 more weeks and I would like to my mind at ease. I had a transabdominal and transvaginal ultrasound of the pelvis. diagnosis: left dermoid neoplasm right ovarian cyst consistent with a follicle 2.7 x 2.3 x 2.8 cm comments: since the ultrasound on 11/20/12, the left ovary remains enlarged and contains new central hyperechoic linear foci suspect for fat. recommend mri with and without contrast question: what does "new central hyperechoic linear foci and what exactly is a dermoid neoplasm also is surgery recommended usually for a dermoid neoplasm? I know no one can tell me but my doctor if i need surgery... I just wanted to know what the usual course of treatment is. I have had a laparatomy for a benign tumor when i was 15 .. I am 40 now.. and that is why I asked also I have stage 4 endometriosis. could this neoplasm be mistaken for endometriosis?
Posted Mon, 24 Feb 2014 in General Health
Answered by Dr. Ivan R. Rommstein 46 minutes later
Brief Answer: Hi and welcome to XXXXXXX Detailed Answer: Thanks for the query. Dermoid neoplasm or cyst is a ovarian tumor which can consist of various tissues such as skin hair follicles or sweat glands. Dermoid neoplasms are are almost always benign and grow slowly. If left untreated it may be asymptomatic forever and if there significant growth then it may press surrounding organs and cause symptoms. So,depending on size,it should be surgically removed. usually if this is symptomatic or larger than 5 cm,it should be removed. Today it is done laparoscopicaly in most hospitals. If there is no indication for surgery then all you need is freqeunt follow up,every 6-12months. Folicle in other ovary,sized about 3cm is normally occuring and disappearing during your menstural cycle so this is nothing to worry about. As, I said, malignant alteration of dermoid neoplasms is rare but possible. Some features which could indicate malignancy can be seen with ultrasound but some cant so mri is necessary in some cases. usually doctos determine are there any changes in ultrasound morphology and then they recommend further tests. so this is why they recommend mri for this hyperechoic linear foci. ( it means that there is one denser part of ovary,probbaly fat). If this is fat then this isnt indicating something serious and I wouldnt even recommend mri because fat tissue is not sign of malignancy. But you can do mri to be 100% sure. Endoemtriosis is rarely mistaken for neoplasms since it is seen differently on ultarsound. Neoplasms are oval and well defined,originating from ovaries. Wish you good health. Feel free to ask. Regards
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Lab Tests

The user accepted the expert's answer

Ask a Doctor Now

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor