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Lesions in right adnexa

zue
I just have a sonogram done. The results are as follow:
        "Complex space-occupying lesions in right adnexa measuring 5.6 x 4.7 x 4.8 cm which            appears to have perfusion by color doppler images including differential diagnosis are ectopic pregnancy, endometrioma, hemorrhagic cyst and less likely ovarian neoplasm".

In my opinion can not be a preganancy due that my husband was operated (vasectomy) 7 years ago. Do any body know what this mean?
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Avatar universal
If it is an endometrioma, the treatment is surgery (or live with it).

I think it is a good idea to have a CT scan and see a gyn oncologist.

Good luck and keep in touch.
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zue
The Dr. did not said anything. They order a C-Scan and to make an appoinment with the Gyn-Oncologist. What do you thing?

Do the endometrioma can be treat or we just life with that?

Thank
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Avatar universal
What is your doctor saying. Has he indicated it is an endometrioma?
Also ask about the enlarged uterus.

The small follicular cysts are benign (as far as they can tell from US).
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zue
The only symptom that I have is a pression pain when I'm sitting for to long, I only fill it when I stand up but go away immediately.

I look back to my report and these are the other findings:
     “ In the right ovary, there are two simple-appearing follicular cysts (1.4 x 1.2 cm,
          0.8 x 0.6 cm).  Follicular cysts are seen in the left ovary.”
      “ Enlarged uterus with small Nabothian cysts approximately 9.0 mm.”
      “ Approximately 1.4 cm follicular cyst in the right ovary.”
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Avatar universal
Endometrioma is endometriosis in the ovary. Endometriosis is uterine lining that spreads outside of the uterus and goes through monthly cycle (swelling and bleeding), which can cause severe pain in some and none in others. It is benign.

Hemorrhagic Cyst
Ovarian cysts are fluid filled structures that develop in the ovary. Ovarian cysts develop with every menstrual cycle. Fluid collects around developing eggs; one egg becomes "dominant" and that egg ovulates (leaves the ovary and goes into the fallopian tube). The ovulated egg leaves a cyst behind in the ovary. This cyst is usually 2—3 centimeters (1—2 inches) in diameter. This type of cyst is called a "physiologic cyst," "follicular cyst," or "simple cyst." If the cyst remains a normal size, it does not cause any symptoms. If the cyst grows larger, 4 centimeters or larger, it can cause pain. Symptomatic cysts are very common; in most cases, the cyst and symptoms will resolve without any treatment.

Occasionally, cysts can bleed into themselves. A very small blood vessel in the wall of the cyst breaks, and the blood goes into the cyst. These are called "hemorrhagic cysts" and sometimes are more painful. Hemorrhagic cysts are common as well. Occasionally, hemorrhagic cysts can rupture, and the blood goes into the abdominal cavity. No blood is seen out of the vagina. If a cyst ruptures, it is usually very painful. Hemorrhagic cysts that rupture are less common. Most hemorrhagic cysts are self-limiting; some need surgical intervention (see below). Even if the hemorrhagic cyst ruptures, in many cases it will resolve without surgery. Sometimes surgery is necessary

Oavrian Neoplasm indicates possible tumor, which can be benign (common) or malignant (very rare).

Your doctor should do a follow-up ultrasound on day 7 of you next cycle, to see if the cyst shrinks, remains the same or grows.

Are you experiencing any symptoms?
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