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Can malignancy in an ovarian cyst be detected via ultrasound?

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I received my results from a pelvic (transabdominal & endovaginal) ultrasound. In the conclusion, the doctor stated "Complex mass in the left ovary measuring 3 cm. This contains cystic and solid components. The differential includes benign and malignant lesions." My question is, since I know that ultrasound can be very very detailed now, is it truly possible that the doctor was able to tell that the mass is at least partially malignant, or was that an "irresponsible" or incorrect way to phrase it because you cannot tell for FACT if a mass has malignancy by ultrasound alone? If he stated malignant, does that in fact mean that he likely spotted an area that shows signs of definite malignancy? I do have a follow up appt. with a OBGYN/ONC, however they can't get me in for over a week, and of course its making me nuts. If in fact it is likely malignant, fine, I'd just like to know. Not knowing is maddening! Thank you for your help...
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replied June 9th, 2012
Pelvic ultrasound results
I hope you will have the same experience I had. Same two tests, similar report. "Differential" is medical speak for "could be either/or". In my case surgery proved everything to be benign, and yest I had cystic and solid components as well as polyps and a fibroid in the uterus. I had a follow up CT scan and then PET scan because my doc was convinced she would find metastases. You are doing the right thing going to a GYN oncologist. Hope your outcome is as good as mine. I'm 5 weeks post surgery.
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