What causes cystic mass in the uterus?
I did not ask more questions because I was on the phone while my kids were around, so I do not understand what she is suggesting the possibilities are. She did say that it might be endometrioma. From looking online and searching things associated with enlarged uterus, I am concerned. Can you clarify what she might be considering in her diagnosis? (I am a 48 year old woman who has been pregnant at least twice never to term--I adopted my kids. I was diagnosed with endometriosis 10 years ago. I had not symptoms other than masses found in an annual exam and then laproscopic surgery to remove them. They called them chocolate cysts. )
You need a ct scan
Welcome to HealthcareMagic.
The chocolate cyst was as a result of your endometriosis.
Now there are two possibilities for the cystic mass. Either it could be a recurrence of your chocolate cyst or it could a ovarian cyst not related to the endometriosis. Now for this second possibility to occur, you need to have a ovary on that side. This should be what your doctor must be wanting to know from your old gynecologist, that was your ovary removed in the last surgery or not. And if removed, was it fully removed or partially removed.
And as on usg it is difficult to differentiate a chocolate cyst from an ovarian clear cyst, specially if you have already been operated at that site. For this a CT scan will be a much better investigation. It will not only indicate the content of the cyst, but will also throw light on from which structure it is arising.
Also get your CA125 levels done, to rule out any ovarian malignancy.
Further management will depend upon these reports and the details of previous surgery.
Hope I have been helpful.
Dr. Deepika Patil
She said that the ultrasound, instead of providing clarity, actually made the water more murky.
Does that give you anymore info to take a guess? Does it seem like I should be concerned that it is cancer or are the chances small for it to be cancer. That is what the doc made it seem like but was not explicit and I am concerned that she is trying to manage my anxiety as her patient rather than giving me all the possibilities and statistical likelihoods.
Also, what do you think would be causing my uterus to be so enlarged.
Thank you for our input!
uterus is enlarged due to fibroids
As i said earlier you need a ct scan and CA125 levels to get you all the answers.
If your CA125 levels are normal then you can easily follow the mass over time. Its levels are raised, it will warrant a more aggressive treatment.
And ct scan will show exactly from where it is arising from. As you are having both the ovaries, so possibilities are more.
An the mass, if we presume it to be from the ovary, can still be moved by moving the uterus, it it has infiltrated into it or if there is an adhesion between the two following the previous surgery or your endometriosis. So ct will be important for all these answers.
And uterus masses are usually not cystic.
Dr. Deepika Patil
The User accepted the expert's answer
Get personalised answers from verified doctor in minutes across 80+ specialties
- What causes uterus twitches
- What causes an anteverted uterus
- What causes a uterus to spasam
- What causes prolapse of the uterus
- What causes puss in the uterus
- What causes a subseptate uterus
- What causes fluid in uterus
- What causes a hypoplastic uterus
- What causes uterus to enlarge
- What causes a bulky uterus
- Is black seeds safe to take inspite of taking atripla for HIV?
- What causes lipoma?
- Does inhalation of lacquer cause health problems?
- What does B12 serum value 1179 and D3 serum value 32.9 indicate?
- Sugest treatment for swollen lymph nodes in neck and armpit
- What causes painful small lump on the back of my neck?
- What does heavy bleeding with thickened endometrium indicate?
- Can a breast implant cause mental illness?
- Suggest treatmentt for throat ulcers
- Is it safe to take phytoceramides with history of bilateral mastectomy?