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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does This Pelvic Ultrasound Test Result During Pregnancy Indicate?

Hello.I got married in August 2016.In Dec my periods was bit delayed.Later on I started bleeding.Some them advised to go and check with dr and took urine test in Dr office and it was positive but throught I was bleeding whenever I pass urine.Fews days later I had a miscarriage at home.Again I got pregnant.My last periods was on Feb 12 2017..in March I came to know I was pregnant.Aprin 10th Ultrasound was done.baby was fine and came to know there was a dermoid cyst . Echogenic cyst measuring 43×40mm noted in right ovary and right ovary measures 64×40mm and left measures 38×22mm.On may 12 I started bleeding.The next day transabdominal and transvaginal ultrasound was done.Impression was missed miscarriage and a dermoid cyst.Echogenic mass with cystic areas seen in the right ovary measuring 6.6×3.9cm. Left ovary measured 2.9×2.3cms.On 14th of may D&C was done.I want to know in detail about the following details:On 4th of July 2017 a Transabdominal and transvaginal sonography of the pelvis was done.Uterus measured 6.4×3.1×4.6cms,Normal appearing uterus with homogeneous myometrial echoes.Endometrial thickness measured 5.0mm.Cavity echo appeared normal.There is a 5.2×3.8sized dense echogenic mass with cystic area seen in the right ovary.Portion of the ovarian substance seen at the periphery of the lesion measuring 1.6×1.5cm.Colour flow mapping reveals no vascularity in the lesion. Left ovary measured3.0×2.0×2.7cms(Volume=8.42cc.).Left ovary appeared normal.IMPRESSION:DENSE ECHOGENIC MASS WITH CYSTIC AREA SEEN IN THE RIGHT OVARY,SUGGESTIVE OF DERMOIS CYST.Normal appearing Uterus, Endometrial Cavity.Left ovary.
Mon, 5 Feb 2024
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General & Family Physician 's  Response
Hi,

This ultrasound report is that right ovary is showing a dermoid cyst in the right ovary. A dermoid cyst is a cyst which has sebaceous material like hair, fat, teeth or bone etc. along with the mature tissue of ovary. These are generally benign cysts, however rarely, these can be malignant.

90% dermoid cyst are present in the right ovary. These may not have any symptom. However, if the size increases, the size of ovary also increases. Though, there is no study to link the occurrence of miscarriage with presence of dermoid cyst. Even with a remote possibility of this cyst to be related to miscarriage as well as minor possibility of turning into malignant, it is advised that this should be treated surgically in your case.

Most of the cases of such size of dermoid cysts can be treated by just removing the cystic portion of the ovary (Cystectomy) and leaving the rest ovary intact. However, in a few difficult cases, where, it is not easy to remove the cystic portion only, entire ovary (Oophrectomy) can be removed.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Satnarain Bansal, General & Family Physician
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What Does This Pelvic Ultrasound Test Result During Pregnancy Indicate?

Hi, This ultrasound report is that right ovary is showing a dermoid cyst in the right ovary. A dermoid cyst is a cyst which has sebaceous material like hair, fat, teeth or bone etc. along with the mature tissue of ovary. These are generally benign cysts, however rarely, these can be malignant. 90% dermoid cyst are present in the right ovary. These may not have any symptom. However, if the size increases, the size of ovary also increases. Though, there is no study to link the occurrence of miscarriage with presence of dermoid cyst. Even with a remote possibility of this cyst to be related to miscarriage as well as minor possibility of turning into malignant, it is advised that this should be treated surgically in your case. Most of the cases of such size of dermoid cysts can be treated by just removing the cystic portion of the ovary (Cystectomy) and leaving the rest ovary intact. However, in a few difficult cases, where, it is not easy to remove the cystic portion only, entire ovary (Oophrectomy) can be removed. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Satnarain Bansal, General & Family Physician