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is it possible that the doctor was able to tell with US

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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 5th, 2012
Cervical Cancer and Ovarian Cancer Answer A35719
Welcome to the ehealthforum and I am really glad to help you out.

I can understand your concern for the possibility of ovarian malignancy. However transabdominal or transvaginal ultrasound is the first investigation for ovarian malignancy. Apart from that serum CA125 which is a tumor marker can also be done.

The diagnosis must be confirmed with surgery to inspect the abdominal cavity, take biopsies (tissue samples for microscopic analysis) and look for cancer cells in the abdominal fluid.

My sincere advice is to consult a gynecologist and get these tests done.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care.

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