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What Does This Ultrasound Report Of Pelvic Area Indicate?
Question: Hello
I have recently had an ultrasound after having left side pelvic pain for a week. The ultrasound report says my left ovary is bigger than the right and is 10.l volume. It also says there is a complex 15x11x12mm lesion with mixed echogenicity with internal and external vascularity.
The report opinion suggests perhaps a collasping follicle? And it suggest a repeat ultrasound in 6 weeks.
Should I be worried about this? What does the vascularity internal and external mean?
Regards
XXXXXXX
I have recently had an ultrasound after having left side pelvic pain for a week. The ultrasound report says my left ovary is bigger than the right and is 10.l volume. It also says there is a complex 15x11x12mm lesion with mixed echogenicity with internal and external vascularity.
The report opinion suggests perhaps a collasping follicle? And it suggest a repeat ultrasound in 6 weeks.
Should I be worried about this? What does the vascularity internal and external mean?
Regards
XXXXXXX
Brief Answer:
Vascularity suggests a live mass or follicle.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The report suggests that you have a small complex cyst in the left ovary that is of the size of a follicle. The vascularity in the cyst suggests that it is an actively growing mass. Since it is small in size it is not worrisome. We can monitor the cyst for 6 weeks and get a repeat ultrasound scan done to find the progress. In case the cyst is actively growing in size then it needs to be removed surgically.
You can get your serum CA-125 levels evaluated to find out if it related to any ovarian malignancy.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Vascularity suggests a live mass or follicle.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The report suggests that you have a small complex cyst in the left ovary that is of the size of a follicle. The vascularity in the cyst suggests that it is an actively growing mass. Since it is small in size it is not worrisome. We can monitor the cyst for 6 weeks and get a repeat ultrasound scan done to find the progress. In case the cyst is actively growing in size then it needs to be removed surgically.
You can get your serum CA-125 levels evaluated to find out if it related to any ovarian malignancy.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your reply.
I did have a cA125 test done about 2-3 weeks ago which was negative. However the cyst wasn't present on the ultrasound at that point. The doctor just did the test because I have had pain on and off for a while.
Just some further info. I am 39 years old and no family history of these types of cancers or masses. I have had one successful pregnancy that went to 24.5 weeks gestation.
I just have two other questions;
If the CA125 test was negative a few weeks ago, do I need to do another one?
What does it mean with it say complex lesion? Are all collasped follicles complex?
Kind regards
I did have a cA125 test done about 2-3 weeks ago which was negative. However the cyst wasn't present on the ultrasound at that point. The doctor just did the test because I have had pain on and off for a while.
Just some further info. I am 39 years old and no family history of these types of cancers or masses. I have had one successful pregnancy that went to 24.5 weeks gestation.
I just have two other questions;
If the CA125 test was negative a few weeks ago, do I need to do another one?
What does it mean with it say complex lesion? Are all collasped follicles complex?
Kind regards
Brief Answer:
Collapsing follicle can mimic a vascular mass.
Detailed Answer:
Hello.
Thanks for writing again.
If your CA-125 levels were normal 3 weeks ago then there is no need to go for a repeat test.
The collapsing follicle can give the appearance of a complex cyst with internal echoes, hemorrhage and septations. It is also a vascular structure. It is best to wait for a few weeks and find out.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Collapsing follicle can mimic a vascular mass.
Detailed Answer:
Hello.
Thanks for writing again.
If your CA-125 levels were normal 3 weeks ago then there is no need to go for a repeat test.
The collapsing follicle can give the appearance of a complex cyst with internal echoes, hemorrhage and septations. It is also a vascular structure. It is best to wait for a few weeks and find out.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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