Get your Health question answered in 3 easy steps

186 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Ultrasound showed cyst in ovary. Any chances of getting cancer from this?

Answered by
Dr.
Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 13007 Questions

default
Posted on Thu, 17 Jan 2013 in Pregnancy
Question: Hi,
Can you help me understand the measurements of a 2.7cm x 3.7cm x 3.9 cm ovarian cyst?
In April 2012 I was diagnosed with a simple cyst via ultrasound performed at my regular gynecologist office. Repeat ultrasound was performed in same doctor's office in July. Was told the cyst had changed and was now complex because it had a thin septation in it. Was sent to gyn/onco who performed a CAT scan, conclusion was simple cyst. Went to second gyno/oncologist who performed the whole series of ultrasound pics and again said cyst is simple and what the first office thought was "complex" or septation was really the wall of the cyst and the cyst has a small collection of fluid adjacent to cyst. Also had a CA125 which came back at 13.

Apparently this small collection of fluid adjacent to cyst was not there in the April ultrasound. I am obsessing over this cyst and feel pressure (not so much pain) from the cyst.

Is it possible that two different oncologists/radiologist reports would mistake the cyst for simple if it's really not simple? Does this change (collection of fluid) to the cyst usually mean something sinister is happening (cancer)?

By ultrasound and CAT scan, I was diagnosed with a simple ovarian cyst in July 2012. The cyst is still there as of 9/27/12 (last ultrasound).
Also noted on ultrasound was small amount of free fluid in posterior cul de sac. This is all from the radiologist report.
doctor
Answered by Dr. Rakhi Tayal 32 minutes later
Hello,
Thanks for posting your query.
Since you had serial ultrasounds since July and a CAT scan too, it is unlikely for the two radiologists to mistakenly identify a cancerous or a complex cyst to be a simple cyst.
You do have a simple cyst and having a small fluid collection near the cyst may be the same fluid that has been detected in pouch of douglas- posterior cul de sac. Since the CA-125 readings are also within normal limits, there is nothing to worry. The cyst you have is a benign one and may be associated with mild pressure symptoms in the lower abdomen.
Hope this answers your query. I will be glad to answer the follow up queries that you have.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Rakhi Tayal 1 hour later
Hi,
Attached are some pics of the ultrasound and also the radiologist report. The fluid is in two different area's (see radiologist report). Fluid can be seen next to cyst.

My main two questions please. The fluid was not present in April and was present adjacent to the cyst in July and still remains there on the 9/27/12 ultrasound. Can this fluid next to the cyst indicate some type of pathology since was not there in April but appeared in July?

Also, I think the wall of the cyst originally was mistaken as a septation back in early July. Since that time, I had the CAT scan and ultrasounds and they are just being called simple cysts and that this "septation" is actually cyst wall. Can radiologists definitely tell the difference between a septation and a cyst wall?

Thank you so much for your help. Please see photos uploaded.
doctor
Answered by Dr. Rakhi Tayal 1 hour later
Hello.
Thanks for writing again.
I have seen all the reports and the pictures attached. The fluid near the right ovarian cyst seems to be a reactionary fluid. There is some fluid in cul de sac also. Such minor amount of fluid is sometimes normally seen in pelvis. These findings are not suggestive of any ovarian malignancy.
I also think that the ovarian cyst wall was mistaken as septation in April. May be a small amount of fluid present near the cyst was interpreted as a part of the cyst and the cyst wall was mistaken to be a septa. In my opinion, both the pictures are almost similar and there is no major change. There are no specific criteria to differentiate between a cyst wall and a septa.
You can arrange for a follow up scan after six months to notice any change.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  

Recent questions on  Ovarian cancer

doctor1 MD

I have had ovarian cancer 35 years ago, and ever since have had bowels issue. These are now more troubling as I age...I am now 70. I had radiation treatments only. I have also had a perineoraphy ( spelled wrong) and the diarrhea since then has gotten worse. I get little to no warning of the need to poo and have taken to wearing diapers when I go out. In addition I now have a leakage problem. As an example, I was just sitting at my computer when I felt wet....got up and checked and liquid (brown) had just come out, staining panties and my shorts....I ve heard of collagenous colitis...could that be it?

doctor1 MD

Delay pregnancy for patients with ovarian cysts What is the solution to this topic? Married 3 years ago and did not beget even now I want a child badly and I can not afford IVF Is there a solution for ovarian cysts Where The level of the hormone LH is 10 The proportion of the hormone fsh is 5 .6 Is there hope in my case? I taking Gelokovaj pills 6 Uema pills value 500 And folic acid pill And organized the session more than 3 months on this treatment

doctor1 MD

Hi,I am a 31 y/o currently seeing an infertility doctor for my husbands low sperm count. We know we have to do ivf/icsi and we've already paid for it. I went to my clinic for day 2 and 3 testing and they cancelled our cycle b/c they said that I have elevated FSH levels. They said it happens sometimes and that I could just be stressed. They told me to come back next cycle and try again. Could this mean I could be going through early menopause or premature ovarian failure? Are there other tests they could do before getting a definitive answer?

doctor1 MD

I am a relatively healthy 49 yo woman 5 4 140lbs. In March I had a large ovarian cyst and both fallopian tubes removed. I am having periodic sharp pains at or near the incision sites. Generally it is just above the incision sites. How long should the pain remain? The pain gets worse closer to my cycle.

doctor1 MD

I have pain in lower left side below abdomen. This has happened a couple of times over the last four years. It is dull and usually goes away after a week or two. What could be causing this?

doctor1 MD

i have had 4 hernia surgeries in 18 mos. one was a triple and the other a single. now i feel another in the upper abdomen. i had surgery 20yrs ago for ovarian cancer ( hysterectomy ). a i also had another surgery 3 mos later to remove the( omentum...

doctor1 MD

I gave birth six months ago and before that my periods were completely normal. Since birth I have been having some pink discharge in between periods. It usually starts a little over a week before my period and is very very very light pink....