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3.5 cm septated ovarian or adnexal cyst

An ultrasound showed a 3.5 cm septated left ovarian or adnexal cyst.  I had a hysterectomy and might right ovary was removed in 2005.  What is septated?  What is adnexal?  Do I need a biopsy?  How large do these things grow...or do they shrink?  The radiologist suggested f/u ultrasound in six weeks but my doc said f/u in 3-6 months is fine.  Isn't the size of the cyst larger than a normal ovary?  The radiologist said " it is uncertain if this represents the left ovary...a minimal amount of surrounding ovarian tissue is suspected...there is no free fluid seen within the cul-de-sac".
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Avatar universal
Septated means characterized by internal walls/divisions (aka complex).

Adnexal is the region in the pelvis adjacent to the uterus which includes ovaries and fallopian tubes.

Biopsy would be premature at this point.
Usually you follow up with ultrasound in a few weeks or months.
If it persists, then you can get an MRI pelvis.
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Avatar universal
Thanks!  That is useful information.  I researched the "scarynet" and adnexal sound more difficult to diagnose.  And I found nothing for women who are sans uterus and post menopause.  Most info relates to teens or wome entering or in menopause.

Betsy
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2 Comments
this sounds very simular to my diagnosis left septated adnexal cyst /not attached to the ovary 3.1.cm when initially found but now  6 weeks later after ultra sound 4.8cm im a . bit confused as i have no symptoms but constant lower left back pain im just trying to find out if the cyst could be the cause of the back pain
i also have had a partial hyserectomy when i was 28 which just left my ovaries im now 51 and going through the menopause
Avatar universal
I also just found out that the culdesac is also called the pouch of Douglas(!) and it is the area between the rectum and the uterus, behind the uterus.

Babs
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Avatar universal
That sounds a lot like my ultrasound report, and I have some of the same questions you have!  I do know that adnexal just means next to or attached to, and septated means the same as complex, that is has two or more sections to it.  My report also said no fluid in the cul-de-sac, which I believe is a good thing.

Can anyone else help us out here?
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