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I’m 50 yrs old.is this serious and does it require surgery What medical options do I have ?
IMPRESSION:
1. Heterogeneous enlarged echogenic mass affiliated with the left ovary, 6.5 x
5.8 x 3.9 cm in transverse dimension;? Dermoid.
2. 2.5 cm cyst affiliated with the normal-appearing right ovary.
3. Leiomyomatous uterus as described; 2 of the larger lesions are exophytic,
left ventral fundal, 5.9 x 5.1 x 5.2 cm, and dorsal right fundal, 6.2 x 5.8 x
5.4 cm.
4. No additional adnexal masses
INDICATION: Metromenorrhagia.
COMPARISON: None.
TECHNIQUE: Longitudinal and transverse sonograms of the pelvis were obtained.
REPORT: Uterus is bulbous and enlarged measuring 13.2 x 1.1 x 6.3 cm. Overall
myometrial echotexture is diffusely heterogeneous. There are 2 exophytic
subserosal or pedunculated masses. Left ventral fundus lesion measures 5.9 x
5.2 x 5.1 cm and is intermediate to low amplitude echogenicity. A dorsal right
fundal mass measures 6.2 x 5.8 x 5.4 cm and is also relatively hypoechoic. A
third lesion is within the mid myometrium abutting the larger dorsal right
frontal mass measuring 2.8 x 2.7 x 2.6 cm. The endometrial stripe complex is
difficult to visualize along its entire length. Short segments are
morphologically normal measuring up to 8 mm full-thickness. The right ovary
measures 4.3 x 3.4 x 2.3 cm with multiple cysts the largest measuring 2.5 x 2.1
x 1.8 cm. The left ovary is abnormal. Composite measurements are 6.8 x 7 x 3.8
cm most of which is represented by an echogenic partially shadowing mass
measuring 6.5 x 5.8 x 3.9 cm. No additional masses
2 Answers
- formerly_bobLv 72 years ago
Neither condition is necessarily a threat, but it depends on the severity of your symptoms. The dermoid cyst on the ovary would need surgery if its causing problems. The only problem usually caused by a dermoid cyst is pain, unless it became so large it interfered with some type of organ function. . The smaller cyst on the right ovary probably needs no treatment.
Maybe the uterine problem can be treated with hormones, but surgery may be the only option that is effective. You have already seen the consequences of the uterine problem - whatever pain and bleeding problems it might be causing, you would expect those symptoms to continue without treatment.
