Benign Lesions Of The Ovaries

Question: Lesion on spleen, CT and Ultrasound? Not too long ago I went to the Emergency for severe, severe abdominal/pelvic pain. (I'm a 21 year old female, by the way). A CT was done to rule out appendicitis. I have a copy of the report, and a few things were discovered... LOWER THORAX: There is a small focal area of pleural thickening along he medial left lung base. There is dense breast tissue bilaterally. IMPRESSION: There is a 3-cm right adnexal cyst with a moderate amount of free pelvic fluid which is particularly seen in the cul-de-sac region and within the endometrium. Approximately 7-mm low- attenuation lesion in the inferior aspect of the spleen which is too small to characterize in the current study. This lesion is well circumscribed and may represent a benign cyst. However, attenuation value is higher than expected for a simple cyst possibly due to volume averaging. Ultrasound may be helpful to differentiate between cyst versus a solid lesion. The ER doctor didn't mention the lesion on the spleen, only the ovarian cysts. A pelvic ultrasound was done that day. FINDINGS: The uterus is retroverted. There is moderate uniform thickening of the endometrium to 12 mm, which presumably relates to the patient's menstrual cycle. The right ovary has multiple cysts, the largest of which measure 3 cm in diameter. The left ovary has multiple follicular cysts that measure 5 mm and less in diameter. I understand that ovarian cysts are quite common, and generally don't cause any problems. It appears mine ruptured and that;s what caused me to be in pain. What I'm curious about is the pleural thickening-I haven't been exposed to asbestos to my knowledge, what can cause this? Also, several days after my ER visit, my primary doctor ordered an ultrasound to check out the splenic lesion. FINDINGS: There is an 8-mm round hypoechoic area in the spleen that is difficult to characterize. There may be slight acoustic enhancement. Although this could represent a simple cyst, it does not display the classic appearance. A folow-up splenic ultrasound study could be performed in 3 to 6 months to document stability. I understand doctors are busy; I've gotten some answers but will have to wait until my next appointment for further clarification. I'd like some additional opinions, thanks in advance for any help =]

Answer: I’m not really sure what it is you want to know. Are you wanting to know if you should be concerned about the findings? The answer is no. It is very common for people to have various little things in their body. Usually they don’t know it and usually no one knows what caused it. A tiny spot of plural thickening is not a reason to think it could be mesothelioma, which takes 25 years to manifest. The lesion in the spleen is very small and not seen well enough to call it a cyst so the only thing to do is watch it. I would be more worried about the ovarian cysts as they are FAR more likely to cause you problems.

Question: I have a complex cyst on my ovary. Will it go away on its own? Hi everyone. I month ago I had an ultrasound done and this was the finding: "The left ovary is enlarged, measuring 6 cm x 5.3 cm x 5.3 cm. Within the left ovary is a complex cystic structure measuring 4.4 x 4.8 x 4.5 cm. Some sepatation is present with half of the cystic structure having either dense internal debris or a somewhat solid component. No color flow is appreciated in this abnormal half of the cystic structure. No other mass or lesion or free fluid is present wihtin the left adnexa. This is a nonspecific finding and both benign and malignat etiologies must be considered. Recommend standard, short interval follow-up ultrasound to documented regression and/or stability." Thanks for you input.

Answer: I had the same thing happen to me only my measurments of the cyst and ovary were slightly smaller. Anyway I was put on birth control pills for three months and then had another ultrasound and everything had shrunk back to it's normal size. Good luck with you!

Question: I need some help deciphering my rad. report? Ive had these symptoms for almost 2 years now: bloated feeling, like Im always gonna start my period. very low back pain specifically on the right side. Pain that feels like its in my hip bones & radiates down my upper legs. After lying or sitting I have to make myself take painful steps until I can get going. Gas, no matter what I eat. Not hungry, doesn't take much to feel full. No weight loss though (if anything weight gain). I also only have had 1 or 2 periods a year. (pre-menopausal); have had intravaginal ultrasounds & based on the last results my doctor wants to get me into surgery right away to remove my right ovary. She does not want to run anymore tests (no MRI or CA125) Is that normal procedure?? this is the report: The endometrial echo complex measures .3cm in thickness.there is a 2.5 x2.6 cm density whithin the right adnexal. There is some echogenicity and evidence of accoustic shadowing which was not seen previously. though the configuration is similar to the previously demonstrated complex right adnexal lesion & there is possible calcification. (plus theres the other generic writings) Does this sound like something benign?? or does it sound more like ovarian cancer?? thank you - my mind is going crazy waiting to get back in to see the doctor & have the surgery scheduled.....She said I really dont have any other options at this point.

Answer: Your doctor is correct. There is no point in running further tests when it is not going to change the fact that you need surgery. Any adnexal mass larger than 2cm should be considered suspicious and it could rupture. It needs to be removed.

Question: What is meant by cystic cortical lesions?

Answer: benign lesions of the ovaries meaning non-cancerous