Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

OVARIAN CYST in CT, ULTRASOUNDand pelvic pain. CANCER?

Resolved Question:

I am a 33 yr old female. On Aug 11 I went to the ER for s-iide pelvic pain. I feared I had appendicitis and so did the doctor there. She ordered a ct scan. No appendicitis, but found a suspected ovarian cyst 3.7 cm in diameter. I followed up with my gynecologist and had an abdominal and transvaginal ultrasound on Sept 8. Office called today and said it was a cyst 4.1 cm in diameter. I go Sept 22 to discuss results further. The ultrasound report from hospital is also uploaded, to some degree, into an account I can access. I week upload it. I have looked at them and have worries I need opinions on before my next appt or I'm going to go crazy. First, there's a family history of cancer. On my mother's side: my mom- uterine and ovarian my grandma and her mom- breast and ovarian my grandfather-colon On my father's side: my grandma had colon. I believe they can't tell what kind of structure it is, which is why suggest repeat in 6-8 weeks. What could they think could happen in that time to be able to tell what kind of structure? I'm still in constant pain, sometimes severe. I have no appetite or if am hungry I can't eat much. What is your opinion on the whole situation? I'm I right to be a bit worried do to history of cancer? What would your recommendations be? Then I can compare them to my Dr when I finally get in there. Thank you.

Category: OBGYN

Ask Your Own Question

Category: Infertility Specialist
 20 Doctors Online

Hello
Thanks for posting your query at DoctorSpring.com
I have gone through the ultrasound scan report.
As such, it does not provide much information to me, if I had scanned you, or could go through the images atleast, that would be of more help.
Such masses can be of a varied nature.
They can be infective, due to a mild pelvic infection.
They can be haemorrhagic, due to bleeding in the cysts owing to hormonal disturbances.
They could be due to endometriosis, a chronic and painful condition.
Lastly , of course, malignant causes should be considered.
You have a strong family history, but relax.
The reason it is to be re scanned in 2 months is - any change in size, texture, appearance would be noted.
If the lesion increases or develops more ominous features, it would be biopsied at the very least, or removed.
If it is infectious or haemorrhagic, it is likely to resolve by then.
Just wait and watch.
Get some tumour markers done, this is simple bloodwork that measures levels of CA - 125 etc, that helps in assessing chances of malignancy.
Having gone through the report, and looking at your age and clinical profile, I would not put malignancy as a first possibility.
The pain points at an infective or haemorrhagic etiology.
So relax, and have the workup done as advised.
Also a Pap smear .
All the best.
Regards.
Please feel free to discuss further.


Patient replied :

This may seem a silly question but, when I go to talk to my gynecologist on the 22nd, if she doesn't suggest the blood work for the tumor markers, am I allowed to ask her to run them?


Hello.
It is not a silly question.
Of course you are allowed to, and should ask her to run them.
Though I would be surprised if she does not suggest it herself.
Let me know what transpires though.

Take care.


Dr. Aarti Vazirani
Category: Infertility Specialist
Experience: 
Residency: Obstetrics & Gynecolog, BJMC,Civil hospital, Ahmedabad, 2008
Post Graduate: MS (Obstetrics & Gynecology), B.J. Medical College, Ahmedabad, 2008
Medical School: MBBS, B.J. Medical College, Ahmedabad, 2004
Dr. Aarti Vazirani and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news