I'm 48 and I haven't menstrated in over a
year so I guess i've gone through
menopause. I haven't been to the gyno in
four years. I have MS and my daughter has
been battling cancer for the past four
years..No excuses but these are the
reasons why I haven't gone.
My PAP came back showing abnormal results.
My doc wants to see me immediately. I had
a pelvic transvaginal sonogram. It shows
the left ovary measures 3x2.6 x 2.9 cm and
contains a
CYSTIC LESION WITH SEPTATIONS UP TO 2.4 IN
SIZE. According to the secy that is the
part of the sono he wants to talk to me
about.
Additional info in the report states the
right ovary measures 1.9 x 1.5 x 1.6cm in
size and contains a 9mm cyst. The uterus
measures 8.5 x 4.9 x 6.1cm for an
estimated volume of 115cc. The endometrial
width is 8mm. Nabothian duct cyst is
identified.
What is a cystic lesion with septations up
to 2.4 cm in size??
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Ingi
Supporter
Joined: 09 Mar 2006 Posts: 8418 Location: Grinning like a Cheshire Cat,
Thanks: 120
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Posted: 01-10-08 14:54pm
I don't know the answer to your question.
But I want to wish you good luck!!
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MandMs
Extremely EHEALTHy
Joined: 26 Jan 2007 Posts: 1939 Location: Strumica, Macedonia
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Hi, 123maryb! Posted: 01-11-08 04:46am
Malignancy of the ovary cannot be
diagnosed with any certainty by
ultrasound. The best that can be done is
to identify characteristics that make it
more likely to be malignant or benign.
Multiloculated cysts (septations within a
cystic area), solid areas, bilateral
lesions (cysts on both ovaries) and other
characteristics, seen by the
ultrasonographer means that there are an
increased chance of malignancy.
There is also, an increased chance of an
ovarian tumor being malignant at older
ages, so is the chance after menopause.
Septation just means a thin boundary
between two collections of fluid and these
ovarian cysts are known as complex ones.
When you are going to see your gyno?
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123maryb
New User, Becoming EHEALTHy
Joined: 10 Jan 2008 Posts: 6 Location: , new york
Posted: 01-15-08 18:40pm
I see my gyno on Friday Jan 18. He wants
to do another pelvic exam. I've had pelvic
discomfort since the sono and 2day is the
first day it doesn't hurt anymore. WHen we
spoke on the phone I insisted on a ca-125
blood test. He explained that he normally
doesn't use that for diagnostic purposes.
I insisted on it and I had my blood drawn
today and I assume the results will be
back to him for my appointment on Friday.
What questions should I be asking on
Friday?
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123maryb
New User, Becoming EHEALTHy
Joined: 10 Jan 2008 Posts: 6 Location: , new york
Posted: 01-15-08 18:40pm
I see my gyno on Friday Jan 18. He wants
to do another pelvic exam. I've had pelvic
discomfort since the sono and 2day is the
first day it doesn't hurt anymore. WHen we
spoke on the phone I insisted on a ca-125
blood test. He explained that he normally
doesn't use that for diagnostic purposes.
I insisted on it and I had my blood drawn
today and I assume the results will be
back to him for my appointment on Friday.
What questions should I be asking on
Friday?
|
123maryb
New User, Becoming EHEALTHy
Joined: 10 Jan 2008 Posts: 6 Location: , new york
Posted: 01-18-08 22:50pm
I went to the doctor today. He explained
to me that my second pap smear results
came back "squamous cells of undetermined
significance, epithelial cell
abnormality." and that he wants to perform
a colposcopy/biopsy next week.
It seemed to come out of left field. The
concern was with my ovaries from the
transvaginal ultrasound. When I asked
about it he seemed to have forgotten all
about it and needed to refer to my chart.
He's very old and works three hours three
days a week. I think I need to find
another gynocologist. Now I'm really
confused. I have MS and I'm very tired. I
don't want to keep making all these trips
to the doctor for him to just keep telling
me to come back. All he did was talk
today. We could have done that on the
phone.
I was so thrown off I didn't even know
what questions to ask.
Any suggestions?
|
MandMs
Extremely EHEALTHy
Joined: 26 Jan 2007 Posts: 1939 Location: Strumica, Macedonia
Thanks: 27
Thanked:10
Posted: 02-11-08 05:29am
Sorry, I didn't write to you earlier.
How do you feel?
What kind of examinations you had in a
meantime?
Atypical squamous cells of undetermined
significance smears indicated an increased
risk of HSIL (high grade squamous
intraepithelial lesions) or carcinoma.
Careful patient follow-up is usually
suggested in such cases.
Obviously, you'll need to change your
gynecologist.
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