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What does a irregular lobulated mass in pelvis indicate? - Online Doctor Chats

Date : 13-Apr-2014
User rating for this question
Very Good Posted in: X-ray, Lab tests and Scans
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2584 Questions
User:I found out I have 2 hernias in my pelvis and in the process of getting a ct sand mri scan drs found what they call a irregular lobulated mass in my pelvis that is 5x5cm in size, I am getting a laprascopic diagnoses and possible treatment of hernia on Monday, but wanted to know what are the chances this mass is malignant vs benign?
Doctor:Hi
Doctor:I see that they found a mass on the scans
User:yes hi
User:they were unable to see if it was fluid filled or solid
Doctor:Could you tell me what part of the pelvis it was in? Or if you have the scan, could you upload it?
User:hold on
User:in pelvus anterior to rectum and posterior to uterus
User:Sorry I do not have the images just reports
Doctor:No worries
Doctor:Thats called the pouch of XXXXXXX
User:Ok thanks, so is this mass considered big
User:5.0x5.0cm
Doctor:Most of the time there are benign dermoid cysts present in that region
User:Thats great!
User:what does irregular lobulated mean?
Doctor:lots of women go their entire lives without knowing they have one
User:Ok that makes sense so hopefully they can operate that plus the hernias at the same time
Doctor:Yup
Doctor:Sounds about right
Doctor:irregular lobulated means that the mass is kind of shaped like a cluster of grapes
User:Wow does that have anything to do with benign or malignant?
Doctor:Not really, the fact that it's fluid filled and not solid makes me skew tword a benign mass
Doctor:But the best proof is taking the thing out and sending it to the pathologist
User:They said unsure whether or not fluid filled but you are right about just taking it out
Doctor:yhea, imaging is not always the most accurate thing and they can be notoriously off with the diagnosis
User:I wish they had told me the info you just shared
Doctor:the best thing is too look at it under a microscope
Doctor:Well, I'm glad I could help.
User:Thanks
Doctor:Your very welcome!
Doctor:Anything else I can help you with?
User:oh the final report said possible endometriosis, abscess or neoplasm
Doctor:ok. Do you have a painful cycle?
User:yes
Doctor:hmmm, ok endometriosis is a possibility as well then
Doctor:But it's very very treatable, if it turns out to be Endometriosis
User:Ok
Doctor:Any Fevers or chills in recent months?
User:had the flu in febuary with fever and chills
Doctor:OK, I'm not worried to much by the abscess possibility then
User:also prominent right inguinal lymph node in groin is that the hernia
User:ok daughter woke up i have to put her in bed
Doctor:And you are on the young side for any kind of neoplasm... so statistically, dermoid cyst would be the most probable, then endometriosis would come in second place
Doctor:yhea thats the hernia
User:ok thank you very much
Doctor:Sure. No problem
Doctor:Always Happy to help.
Doctor:Anything else I can help you with?
User:no daughter crying
Doctor:OK, see to her. Take care
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