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Old 05-12-2008, 03:38 PM   #1
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Ultrasound

I had another ultrasound done. This is what the 1st one (Jan) said:

Findings: The uterus measures 8.5 x 3.6 x 4.4 cm in dimension. The endometrial stripe measures 8.6 mm in thickness and is unremarkable in appearance. There is a mixed hyper and hypoechoic lesion within the ventral aspect of the uterine corpus measuring 1.3 x 1.3 x 1.4 cm in dimension most consistent with a submucosal leiomyoma. The right ovary measures 2.6 x 1.4 x 2.2 cm in dimension and contains an anechoic cyst measuring 2x 9 x 1.9 cm in dimension. The left ovary is not very well visualized. There is a left adnexal cyst meeasuring 3.6 x 3.9 x 3.5 cm in dimension. There is no evidence of free fluid within the cul-de-sac.

Impression:

1. Left adnexal cyst (3.9 cm in maximal dimension)
2. Submucosal leiomyoma (1.4 cm in greatest dimension)
3. Small anechoie right ovarian cyst

This is what the 2nd one (March) said:

Findings: The uterus measures 3.8 x 9.7 cm with bilayering endometrial thickness of 7mm. IUD noted in place centrally in the uterus. The small leiomyoma demonstrated on previous study anteriorly in the uterus is not as discretely identified on today's study but is vaguely suggested. Myometrium is generally heterogeneous which may be related to other poorly difined fibroids.

The right overy measures 1.6 x 1.7 x 3 cm and contains a 1.3 cm benign appearing cyst. Left overy measures 3.6 x 4.2 x 5.6 and contains a 2.5 x 3.4 c, cyst. This is perhaps a bit smaller than had been suggested on the previous study. Continued follow-up ultrasound in 6 weeks to insure this regresses or resolves.

A second 1/2 cm left ovarian cyst has since developed.

No free fluid in cul-de-sac.

Impression:

1. Two left ovarian cysts are now present. The dominant one measures up to 3.4 cm in size. It is minimally smaller than on previous study of 1/18/08 but continued follow-up ultrasound is requested as detailed above.

2. Uterine leiomyomatous disease suggested. IUD in uterus.

This is what the 3rd one (May) said:

Findings: The uterus measures 8.8 x 4.7 x 5.5 cm in dimension. Within the uterine fundus in the interstitium of the myometrium there is a hyperechoic lesion which measures 1.1 x 1.2 cm in dimension consistent with a small interstitial leiomyoma. The endometrial stripe measures 9.7 mm in thickness. An intreuterine device is in position. The right ovary measures 3.4 x 1.9 x 1.5 cm in dimension. Several small anechoic follicular cysts are present within the right ovary. The left ovary measures 5.9 x 3.6 x 2.9 cm in dimension. Multiple anechoic cysts are present, the largest of which measures 3.7 cm in greatest dimension. All the cysts taken together measures 5.7 cm in aggregate length. Overall, the aggregate size of the left ovarian cyst is increased since the last examination. Left ovarian tissue is not well characterized on this study.

Impression:

1. Overall increase in the size of a grouping of cysts within the ovary which in aggregate now measures 5.7 cm in length.
2. Intrauterine device in position
3. Interstitial leiomyoma withing the uterine fundus.

Does anyone know what all this means? I'm a nervous wreck. To me, it seems like I have more cysts and bigger ones. And now I have a hyperechoic lesion which I don't know what it is. Does anyone know what a hyperechoic lesion is? Any information will be appreciated.

Thank You

Bernice

 
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Old 05-13-2008, 08:42 AM   #2
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Re: Ultrasound

Hi,

I have had personal experience with everything you're describing, so let me see if I can help.

The hyperechoic lesion or leiomyoma is a fibroid tumor. Fibroids are extremly common and are almost always benign, though they can cause problems with your periods.

It does appear that you have more ovarian cysts. Ovarian cysts are also almost always benign and very common as well. Each month, one ovary produces a small cyst which contains the egg. Usually, once the cyst ruptures and the egg is released into the fallopian tubes, the cyst dissolves, but sometimes they don't and can get larger. These are called functiional cysts.

With a condition called polycystic ovarian syndrome, your ovaries produce more functional cysts than are needed each month. This may be what is causing your multiple cysts, but then again, that's just a guess.

Does your doctor seem concerned about the cysts? If not, then there's probably nothing to worry about. I had a cyst on my left ovary for two years that changed sizes and eventually became a solid tumor. I had both ovaries removed in December, and everything was benign.

If the fibroid and/or the cysts become troublesome or are causing symptoms, there are different treatments that can be done.

Big hugs,

Lisa

Last edited by mod_007; 05-13-2008 at 09:44 AM. Reason: Do not post claims to specialist knowledge - see posting rules

 
Old 05-13-2008, 12:23 PM   #3
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Re: Ultrasound

>>With a condition called polycystic ovarian syndrome, your ovaries produce more functional cysts than are needed each month. This may be what is causing your multiple cysts, but then again, that's just a guess<<

Thank you for your reply. Is polycystic Ovarian Syndrome a serious condition?

>>Does your doctor seem concerned about the cysts? If not, then there's probably nothing to worry about. I had a cyst on my left ovary for two years that changed sizes and eventually became a solid tumor. I had both ovaries removed in December, and everything was benign.<<

With the first ultrasound, my doctor said not to worry and that the cyst will probably go away on its own. With the 2nd ultrasound, she said nothing to worry about and the cyst went down in size. I haven't talked to her about the 3 ultrasound yet. I go to her tomorrow. But now with this one, it says I have even more cysts than the 1st two and now the cyst got bigger than before.

I'm really nervous. I'm about ready to tell her to remove all of it. Give me a hystrectomy (sp) even though I want to avoid that but I'm so disgusted. I want these cysts gone.

>>If the fibroid and/or the cysts become troublesome or are causing symptoms, there are different treatments that can be done<<

The only problem I had with them was heavy periods (my guess is from the fibroid) but then I got an IUD inserted and now no bleeding. So far no pain and I hope it stays that way. What are the options for fibroids and cysts?

Thank you

Bernice

 
Old 05-15-2008, 03:41 PM   #4
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Re: Ultrasound

I went to my doctor yesterday, she told me that there's nothing on the ultrasound to suggest cancer. She said but to be on the safe side, she did a blood test (I think CA 125). She said she doesn't think there's anything to worry about but she said since I'm a big worry wart (she said she never met anyone like me before, always worrying) that if I wanted her to, she would remove the ovary with the big cyst but she doesn't think it's medically necessary. I asked if she can do a full hysterectomy. She said if that's what you want, I'm willing to do that. Then I told her that I was never put under before and I don't know what it's like (something else to worry about). She said if she does the scope thing and takes out my one ovary, I would have to be put under. But with a hysterectomy, I can have a spinal. I would be awake but all drugged up to not know what's going on. I'm a nervous wreck. I'm worrying about the bloodwork. I have HPV and had abnormal cells once before. Another reason I want a hysterectomy. I want these cysts out of me but then again if I have a hysterectomy, menopause will soon follow and then there's all the hot flashes and night sweats and mood swings. I really don't know what to do. But the first thing is the bloodwork and hopefully if will come back normal and then I can decide what I want to do.

I had a complete blood count done recently (to check my Iron) and my red cells and white cells were normal. That's a good sign, isn't it? I mean if there was anything going on, my red cells or white cells would be off, right?

Bernice

 
Old 05-15-2008, 05:54 PM   #5
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Re: Ultrasound

Hi Bernice,

I've had six surgeries, all under general anesthesia except for two, which were in "twilight sleep", kind of a dozing state of awareness. (I wish they'd just put me out for those too. I really would rather have slept through the whole thing and woke up when it was over.)

When I had my first surgery, I was very nervous and worried about the anesthesia too, but I don't worry about it anymore, because it's no big deal. (In fact, having surgery is the only time I get some uninterrupted sleep!)

It feels like you just shut your eyes and then you're opening them again in what seems like just a few seconds, but it's really after surgery when you're in the recovery room. You have no recollection about what happens in between. In fact, to get an idea of how it feels to be under anesthesia, shut your eyes right now, count to five, then open them again. There - that's how anesthesia feels. Seriously!

You will feel a bit sleepy for a few hours afterwards, and you may have some nausea to the anesthesia and/or pain meds (I always do), but the doctor can give you medication to help prevent that.

About menopause, when I had my ovaries removed back in December, my doctor started me on the Vivelle-Dot trans-dermal patch the day after surgery. I've been using it since then, and have had no hot flashes, no mood swings, no night sweats, nothing. In fact, my moods seem MORE stabilized than before the surgery and as an added bonus, my hair isn't turning gray as much as it was before surgery. The patch is easy to use, I just replace it twice a week and forget about it in between. Talk with your doctor about it and other HRT options.

As for your blood work, you should be okay. I wouldn't worry. (Easier said than done, I know.)

Hugs,

Lisa

Last edited by Shshi; 05-15-2008 at 05:57 PM.

 
Old 05-15-2008, 06:39 PM   #6
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Re: Ultrasound

Thank you for your reply. I heard stories about people being able to feel everything during surgery but they can't move or talk. Since I was never put under, I don't know what affect anesthesia would have on me. I don't even know if I'm allergic to it. I'm a light sleeper, what if I wake up during surgery?

Do you know how long it takes for a hysterectomy is? I've been getting cramp like feeling that I usually get just before a period but since I have an IUD inserted I don't get my periods anymore so I don't know if these cramps are coming from my cysts or my fibroids. That's one of the reasons I'm nervous about this bloodwork.

The only good thing is I can take 8 weeks off of work and my husband will have to wait on me. LOL

Bernice

 
Old 05-15-2008, 08:44 PM   #7
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Re: Ultrasound

Quote:
Originally Posted by Bernice View Post
Thank you for your reply. I heard stories about people being able to feel everything during surgery but they can't move or talk.
I've had 6 surgeries now. The only thing I remember from any of them (except the one with conscious sedation) was being wheeled into the OR. One surgery I remember looking up at the masked anesthesiologist and him telling me to count backward. I got from 100 to 95 and that's all I remember. During conscious sedation, I think a person is more awake than with twilight sleep. With conscious sedation I heard some of what was said, I spoke, and was able to see the procedure on TV (kind of cool). The doctor asked me at one point if I needed more meds and I said yes - only because I felt a little something, nothing like pain (maybe just general sensation of something was happening). He ordered more drugs and I don't remember anything else (other than watching the tv screen).

I think twilight is deeper than conscious sedation.

 
Old 05-20-2008, 03:46 PM   #8
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Re: Ultrasound

>>As for your blood work, you should be okay. I wouldn't worry. (Easier said than done, I know.<<

I got the results for my CA-125 back. It should be under 25 and mine is 6. So it's normal. How reliable is this bloodwork? I have to go back to my doctor next week and then we'll decide what to do. I might decide to do another ultrasound in a couple months and if the cysts get bigger or stays the same, I might decide on a hysterectomy, not that I want to have surgery but I get cramps almost everyday and my thighs ache. Any suggestions?

Thank You

Bernice

 
Old 05-21-2008, 12:29 PM   #9
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Re: Ultrasound

Hi Bernice,
I read your posts and thought I'd add my experience. I had very similar ultrssoud reports for about 2 years - I kept getting cysts over and over again. It seemed like when one or two resolved I had one or two new ones. I also have three (or so) fibroids. I was going in for ultrasouds every 4 - 6 months. I aslo had 4 ca125 tests - all within normal range.
My GYN insisted that since the cysts were eventually resolving on thier own that I shouldn't worry about them - although that's easy for her to say when she keeps me coming in for more tests. She did say that I could have my ovaries removed, but felt is wasn't necessary. I'm done with children and not too far from menopause anyway, so I considered it, but thought I would give it a little more time.

I had my last ultasound last August and everything was normal - no more cysts and my endometrial stripe was no longer thickened (I had two biopsies for that also - they were both normal). i still have the fibriods - but I hear that these shrink in menopause.

My next appointment is scheduled for this August - WOW - 1 whole year - that's the longest break I've had from this. Also - I am starting to skip periods - I'll be 50 this year - so I'm thinking that all these issues are from all the hormonal changes I've been going through - at the time of all this my periods where getting closer together - so I'm glad it's going the other way now.

Mary

 
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