Complex ovarian cysts on ultrasound
Common Questions and Answers about Complex ovarian cysts on ultrasound
ovarian-cysts
At such a young age it can eb dermoid cyst which is a type of complex ovarian cyst and is the most common type and develops during the childbearing age. Complex ovarian cysts are generally benign. The risk of malignancy is generally higher among postmenopausal women.
Most ovarian cysts disappear in 8 to 12 weeks. If they persist then before going in for surgery we can try the birth control pills also.
The right side showed from slightly complex to complex (complex mainly) But what am I to do?? 3 years ... i am on BC which the first month I started I did the ultrasound again about 2 months in and the cyst shrunk and changed from slightly complex to complex, then I recently had another (5months later) and that shows increase in size (only approx 3cm) but from a little under the 2cm on prior- but COMPLEX --- My mothers sister had ovarian cancer and no children...
I just had my ultrasound (pelvic, intravaginal) on the 17th of July and my Doctor called this morning to tell me I have two complex cysts on my right ovary with blood flow and 2 simple ones on my left without blood flow. The complex cysts are 2.4cm and 2.1cm. I am 47, and I have a 5 year old daughter and I am beside myself right now.
Hi Marisa, You've had a tough time and I'm sorry. 95% of all ovarian cysts are benign. Complex cysts raise a little bit more of a red flag but can still be benign. Somewhere on this page ( I think Sharon just posted it again) is a wonderful pamphlet that will explain in great detail about cysts. Hopefully, it will help you understand your situation. If you trust your doctor, I would follow his or her advice about surgery.
Most ovarian cysts, even complex ones, are benign (non-cancerous). Most cysts resolve on their own in 2 to 3 cycles although this is less apt to happen with complex cysts. If you do not have a family history of ovarian cancer then your lifetime risk is very low, 1.3% per the National Cancer Institute.
If you do need surgery and there is a possibility of cancer, it is best that a gynecologic oncologist do the surgery as they are the experts.
t think you need to be worried based on those results. Cysts that are worrisome for ovarian cancer are usually 5cm or larger and complex (have solid parts). Hemorrhagic cysts are very common. Most cysts (both simple and complex) do turn out to be benign. Be sure to have follow-up to confirm that your cysts are not growing larger. But, to me, it sounds very good in terms of NOT being malignant.
In July of 2008 I was found to have an enlarged left ovary to a little over 5 cm with several complex cysts on it. My right ovary was smaller and had some simple cysts on it. I had a second ultrasound 2 days ago and my left ovary remains above 5 cm with several complex cysts and the right ovary has again simple cysts.
I have been searching the net to find out more about complex cysts and several times have seen the recomendation of getting complex cysts checked for cancer.
Hi - I had a pelvic ultrasound last week and the report came back saying I have a complex cyst on my right ovary - follow up in 6 weeks - I have been "surfing" and found that complex cysts may be cancerous and I am an emotional wreck!
Any thoughts would be great!
I went back for the ultrasound about 2 weeks ago. There were in fact two small cysts on my right ovary (not sure why my OB had thought it was the left one?) Anyway, OBGYN said the cysts measured at 1.2 CM and 2.9CM. These cysts were not 100% fluid, though I have no clue what the ratio was of fluid to non-fluid.
Then in sept they found a cyst during my annual female exams on the vaginal ultrasound. It did show on ct in october but my impression after speaking with the oncologist is that they show up better on ultrasound.
Two common types of benign (non-cancerous) cysts that are hypoechoic on ultrasound are endometriomas and hemorrhagic cysts.
I hope this helps ease your mind. Best of luck conceiving.
MOST ovarian cysts (even complex / suspicious looking ones) are benign and it seems ovarian cysts are more common after hysterectomy due to the histological changes to the ovaries (likely due to loss of blood flow and feedback loop with the uterus). If your gynecologist deems this cyst concerning based on the traits specified on the ultrasound, you will want to see a gynecologic oncologist.
oh my this pain is horrible, i go on the 25 of August for the second ultrasound. Do you think the word complex( fill with blood and solid) means it could be serious. I am kind of worried because my mother father died with colon cancer and her mother died with breast cancer. Please help with some advice.
5 on the right. I also have complex cysts. At that time my ultrasound scan said the could be hemorhaggic cysts. I would get the exact same pain you did. It sometimes come on the first or second day of my period. I would end up in the ER because I could barely walk. I had to hunch over and the pain was really intense. They would just give me pain meds and I would be fine the next day.
After months of imaging and blood test I finally have a surgery date of September 11. My bloodwork done back in June all came back negative but I've heard that that isn't an exact science . I am 57 years old postmenopausal the complex systems 4 x 7 on my right ovary . Because the ultrasound report stated that ovarian neoplasm cannot be omitted an oncologist looked over all of my paperwork he felt that he did not have to be present that the GYN could take care of it on her own.
2 months ago I had an ultrasound done and they found a 1.6cm complex ovarian cyst. They said it was complex because of a septum. Last week I had a follow up ultrasound. They said it was 4.6 x 4.1 x 3.9 cm heterogeneous vascular lesion within the ovary. Trace of physiologic free fluid is seen in the pelvis. They think its likely hemorrhagic cyst. Im only 29 years old and have two young kids. I breastfed both of them and have yet had a cycle return. Im terrified of this being cancer.
Do complex cysts go away without any type of treatment? Do complex cysts put you at higher risk for ovarian cancer in the future? What causes a complex cyst and how "normal" is it for women to get complex cysts?
Also, are dermoids and chocolate cysts what are considered complex ovarian cysts? Are there others?
I want to do everything to get it analyzed and removed.... am I being too anxious?
Thank you for responding.
The right ovary is enlarged and measures 8.2 x 4.9 x 4.0 cm. There is a complex ovarian mass that measures 5.3 x 3.1 x 3.6 cm fine low level internal echoes. There is another complex cystic lesion that measures 3.0 x 2.4 x 3.4 cm with fine low level Lacey echoes. No flow is identified within these lesions and they likely represent hemorrhagic cysts. A simple cyst is also noted measuring 4.3 x 2.4 x 3.4 cm. And the report states that I have free fluid by my vaginal cuff.
First of all, ovarian cysts are common and most are benign (non-cancerous).
Unfortunately, ultrasound is not always definitive in identifying the type of cyst. But the fact that it says "slightly complex cyst" would indicate that it is not too concerning.
I went for a ultrasound and they found a complex solid / cystic mass on my left ovary. The next day i was sent for ct scan and they found another one my right ovary. My doctor didn't say anything to me, on what it might be. He has referred me to the Gynae Clinic at the Hospital. I haven't started worrying to much yet as I think I should stress to much until i know if it is ovarian cancer but I would just like to know. It says in the ct scan notes
1. Two pelvic masses.
If it is over 5 cm, complex, and causing pain, it is reasonable to request the ultrasound and make a course of action. If it is fluid-filled and small, waiting 2 months is pretty typical.
1 cm hypodensity in the right adenexa. The ultrasound showed a simple cyst on my left ovary and a complex cyst that appeared to hemorrhage within itself on the right ovary. My questions are is this considered complex just because of the blood, and would this be considered a hemorrhagic cyst and are they complex? Or are these two different features? Also should this be monitored or will it likely go away on its own? Do I need to be concerned about this type of cyst?
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