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.
Submitted:
4 Days
Category:
OBGYN
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.
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.