Management of Cystic Mass in Right Adnexa
Q: According to my ultrasound report, a cystic area was found in the right adnexal region, measuring about 6.6 cm X 6.0 cm. Please advise me what should I do, except operation.
-By: Soma
Reply:
This is a big sized lesion. Has your doctor taken any biopsy? What is the nature of the fluid in the cyst?
Usually, such cysts need to be operated because there is a risk that they may complicate. The cyst may get twisted or infected.
Sometimes doctors just aspirate out the fluid inside the cyst, shrinking it for the time being. This fluid is then tested for the nature of cells in it. This is very important. Conditions like malignancy need to be ruled out.
As far as non surgical methods are concerned, hormonal pills may be tried. You may talk to your doctor about it. Read here more about non-surgical ways of adnexal cyst management.
Take Care,
Buddy M.D.
Is it possible not to undergo a surgery if I have a small cystic lesion in the right adnexa?
A small cystic mass is usually managed non- surgically. Your doctor may try some hormonal pills first.
However, the lesion needs to be observed closely. Read here about managing the cystic mass.
My doctor is not giving me answers! Ultrasound found a 4.4 by 4.7cm retrovesical/right adnexal mixed echogenic mass on my right ovary. My DR. said the CT scan means I need to see a gyno I have pain, bloating, constipation, spotting, severe fatigue, sometimes nausea, feeling full with barely any food. I just need an answer this not knowing is driving me crazy.
I’ve also had HPV going on 8 years.
Your doctor is right. You need to see a gyne at the earliest.
The adnexal mass is likely to be the cause for all your problem. This mass needs to be investigated further.
You may require a biopsy to be taken from the mass to know its exact nature.
I’m 27 years old and I’m doing altrasond was told 5 * 4 cm right adnexal cystic lesion so that the doctor told me to take medication. I am in doubt. Can hurt me? is it possible to have surgery please give me advice
What are your symptoms? How many kids?
Hi,
I am having cyst on right ovary size: 4.0*2.8 cms, is this dangerous?
No, it is not dangerous. However, it’s not normal to have cysts in your ovary. It is an indication of some pathology going on in your body, may be some hormonal disturbance.
What are your symptoms? Any menstrual disturbance?
I am a 26 year unmarried lady have done USG of whole abdomen showed Anechoic cystic SOL measuring (5.76 cm x 5.10 cm) is noted in right adnexal region. Right ovary is not seen separately. Doctor suggests operation. I just want to know without operation if there is any medicine to remove this cyst or not?
Since your cyst is big in size, it’s advisable to remove it by surgery.
Medicines are unlikely to reduce it, since it’s quite big in size. If you leave it as such, there are chances it may get complicated, like it may get infected or twisted.
I am 28 years old married lady. I have recently done USG of whole pelvis and abdomen region. It showed hemorrhagic cyst
measuring (4.2 cm x 3.6 cm) is noted in left adnexal region. Left ovary is not seen separately.
Doctor already given 2 months femilon tablet. And she has again suggested to continue femilon tablet. I just want to know that if it necessary to continue pills or to discontinue it. I want to conceive. But my query is that if that cyst will create problem to become pregnant.
It is advisable not to conceive till the hemorrhagic cyst shrinks and becomes normal. Such cyst may interfere with pregnancy. So, get it treated first.
You may continue with the tablets being given. They may help reducing the cyst. Your doctor may ask you to get another U/S done after a few months to assess the status of the cyst.
I am a 28 years old lady with a first son of 8 years plus. Trying for my second child but pregnancy seems not forthcoming. Took a pelvic area exam and it read this.
Enlarged anteverted uterus measuring AP 49mm*LS 89mm. Presence of multiple fibroid noodles in the upper and lower half of the uterus. Presence of a cystic mass in the right adnexa with fluid present in the pouch of Douglas.
What is exactly wrong with me? I’m afraid, can I still get pregnant?
Sometimes, due to hormonal disturbances, you may get abnormal growths inside the uterine cavity. This is common.
However, it’s important to treat them first, before you try to conceive. These fibroid growths and the adnexal mass are likely to interfere with conception.
I have a right adnexal cystic lesion measuring 2.0*2.5*2.9cm with volume of 8cc. What should I do? Moreover tell me that it can operate non surgically?
Your age? Menstrual history? No. of kids? Symptoms?
I am fifteen year .pain around pelvis and lower abdomen sometimes vomit USG report shows a well defined systic structure with anechoic content measuring 27.2mm×25.40 mm presence in right adnexa.what medicine should I take??
Your doctor will first ascertain the exact nature of this cyst. It appears to be from the ovary. After that, you’re likely to be prescribed hormonal pills for some time.
During pregnancy of 4th week, while USG report comes it notify me that an ill defined small SOL of 3.35×2.86 cm noted in right adnexa.Is that harmfull for my pregnancy?what will be the best suggestion?
I am 27 yrs old…this is my first time pregnancy.
Any pain there, abnormal bleeding or any other symptom?
I AM A 45 YEARS OLD LADY . I Have two child by seazure operation 1st one in the year 1996 and 2nd one is in the year 2001 with ligation accordingly and after that an another operation has done in the year 2010 and cut and remove uterus and left overy . Presently it is notified in USG and others report that there is an CYST in my right overy measuring 8.4 x 5.5 cm. My Doctor has advice me for the operation as early as possible for remove it. NOW I AM AFFAIRED and WANT TO KNOW THAT ;-
01) IS THERE ANY CHANCES OF CANCER? IF SO HOW MUCH THE %?
02) IS IT SAFE FOR OPERATION ? CAN I LIVE NORMAL LIFE AFTER THE OPERATION?
PLS SUGGEST ME THE BEST MEASURE TO RESCUE FROM MY PROBLEM . MY DOCTOR HAS FIXED THE DATE OF OPERATION ON 05-11-2017.
THANKS & REGARDS
SABINA YEASMIN
MOB:- 8513089720
e-mail-a.mamon@rediffmail.com
This is a big sized cyst. Surgical removal would be the best option in this case.
It’s unlikely to be cancerous.
You’ll need a period of rest followed by a physiotherapy session to gain back your muscle strength. Also, since you are young, your doctor may consider giving you Hormone Replacement Therapy after the operation for a few years.
Please help.me regarding my ct scan resulted as follows:
A wall enhan ing right adnexal cyst density meazuring 5.0×3.8cm.
Large cystic pelvoabdominal mass with thin septations.
Globular appearing uterus with thickwalled right adnexal cyst.
Please kindly explain.
Thanks
What are your symptoms? Did you have any pelvic infection earlier?
I am 22 years old and unmarried. I have a right adnexa cyst (4.5*4.1)cm by USG report.my doctor suggests that conjugate estracon tablets.I have menstrual disturbance for 3 months ( menstrual off >=110days).I have pains in lower abdomen,allergy,lack of appetite, some others problem after taking tablets (estracon .625mg+ medroxy 10 mg)..I want regular menustrual.what can I do ? How can I prevent from this problems?
Need to continue with this pill for some time, before you can see its effects. In most cases, this may take 6 to 9 months.
Are you diabetic? Have your blood sugar been tested?
Lose weight, in case your obese. Eat healthy most of the time, avoiding fried food, junk food and excess of non vegetarian food stuff. Limit your intake of tea and coffee.
yes,i am not diabetic and have tested my blood sugar, its normal.CA 125 is 42u/ml. CA19-9 is <2.00 u/ml.hTSH .53 uIU/ml….so many tested are being normal. before 3 days i tested again USG(report is right ovary size 2.8*1.6*2.5cm and cyst in appearence) .I am worried for my menstrual cycle .May I be surgery operation for this as i am unmarried? I have already ended my tablets as pescribe and wait for 20 days.But can it become a big problem after 20 days{14 days remaining} or menstrual cycle continue?how can i reduce size.
It’s worth giving these pills a try, before thinking about any surgery. In most cases, these pills regularize menses and also make the cyst shrink.
Hi i have done my surgery 2weeks ago .remove the right ovary with 8cm and left ovary just 3cm.The biopsy result is malignant .So we go for oncologist and fallow the blood test by CA125 and ultrasound.my CA125 is 45.8 and my ultrasound of whole abdomen is normal except the minimal free fluid in right adnexa.So the onco.said i need to undergo the chemo in 6cycles.I refused to it .I hope there is other option about it.please help me.
Expert advice is required here. Difficult to comment without actually seeing your reports.
would depend upon the exact type of cancer you have. Also, its spread.
Age 30
Kids 3….
1st kid age =10 yre
2nd kid =. 6 years
3rd kid. =. 3 years
Ultra sound result
Right Adnexal cyst seen 4.2*4.2cm in size with internal fibrin strand in keeping with hemorrhage. Color doppler show no viscosity.
Kindly suggest either i go for surgery or possible to cure with treatment
Surgical resection is the preferred option in such cases.
Hello doctor. I had a 20 cm cyst on the right cyst and it was borderline cancer. A cyto reductive procedure was completed and with the cyst al other organs were taken out. Biopsy report says there was no cancer in other organs. Today I did an ultrasound and there is a cystic lesion of approx 3.2×2.4×2.6 cm with vol 11cc. I will go to my gynae later in the week.
Just wanted your opinion if this is concerning. Because it had a surgery in May this year. Do you think I would need to be operated again.
Thanks
Navodita
Something has com up again!
Can you share the full report of your previous scan, (the one before surgery)?
halo doctor ,
I have a cyst measuring 4.5*1.3 cm abutting the right ovary found by a us scan 2 dys before. my doctor said to me to wait 3 months for observation. I am 40 years old and mother of 2 childrens. by the by, my uterus removed 3 years ago because of uterine fibroid. is there any surgery need to remove the cyst or can it solve by medicines, please advise me.
thank you.
symptoms: pain in abdomen, lack of appetite , weakness etc
Your cyst appears quite big, and may require surgical excision. You may observe for some time and give it a chance to regress on its own.
Do update us about its status.
thank you
You are welcome.
Im 24 yrs old, Usg report says a large cyst measuring 10.2 * 8.5cm noted adjacent ro the right adnexa. Is that dangerous?
This one is quite big in size. May need surgical excision.
Any menstrual problems?
Yes facing irregular periods. There is any other option without surgery?
Yours is a big sized one. So, surgical intervention would be effective. However, treatment with hormonal pills may be attempted.
My mom is 40 years old and have two children.
First kid: 25 years old
Second kid: 20 years old
and she had a lot of pain in her lower belly area. So the doctor consult her to do some blood test and ultrasound. There is a cystic lesion measuring about 4.0×2.0 seen in the left tubo-ovarian region. Internal echoes are seen within the cyst. She doesn’t have any menstrual problem.
TSH result is 2.19mIU/L and she has mild hepatomegaly with fatty changes in her liver.
So what should we do now? Will it need any surgery or it can be cure by medicine? Is it cancerous?
Was a biopsy done for the tubo ovarian mass? If yes, can you share the report here?
i have missed my periods from previous 2 months and now i m worried because ultrasound report said that there is a cyst measuring 8.1cm with septa is seen in right adenexa
what should i do ??
i m 18 years old
This is a big sized cyst. Unlikely to resolve on its own. You’ll need to get it treated.
Surgical removal may be suggested.
hi..i just want to ask if do i need to get immediate medication , my ultrasound result , they found a large sepstated cystic mass with fine internal echoes measuring approximately 3.5×3.8 cm…
Cyst right andnexae most likely ovarian
im not sure about it what does it mean ..
please help me , i really dont know what to do im afraid to see my OB im worried to know if it is cancerous
This is unlikely to be cancerous. However, better get it treated at the earliest. This is a big sized cyst and may complicate with time.
I went for a scan and the results reads, Early gestation at 5weeks with coexisting right adnexia cyst ( 39.9mm-26.7mm) with features of infection. Can the adnexia cyst affect my baby?
Can adnexia cyst of 39.9mm*26.7mm be a problem cos I’m pregnant
Not the cyst, however, infection, if any, may interfere with pregnancy. Needs to be treated.
I am 30 years married lady.A simple cyst of 4.4cm seen in RT Adnexal region suggest me treatment surgery or medicine
Let us know your symptoms.
I am 53 years old, no period for the past 8 years, never been pregnant, pain on my abdomen both sides, and pain on my back, more frequent unrination, experiencing gassiness,no dischage or bleeding, no vomitting or nausea. I went in for an ultrasound becasue I felt hardness mass on my left lower abdomen and experiencing pain cramps, and back pain. I am not on any medications or hormones. Would this surgically be removed? Are there any herbal remedies?
Can you give me a summary and recommendations?
ADENXA:
Or ovaries visualized.
There is a 13 cm primarily cystic mass centered about the right
adnexa. This mass does demonstrate some solid peripheral
nodular components that demonstrate color flow. Cystic
components contains some dot dash internal echoes..
Free fluid: None
IMPRESSION:
1. 13 cm primarily cystic mass centered about the right adnexa
with some solid peripheral nodule components with color flow.
Gynecologic evaluation is needed.
Confirmed Notification: Adnexal mass
The usual treatment done in such cases in surgery, where they remove the affected ovary and adjoining tissue. Medical treatment with hormones is unlikely to help much.
Would you recommend a hysterectomy because of high risk of reoccurence on the other ovary? Also tests CA-19 and CA125 are high.
Hysterectomy is usually recommended in such cases, particularly in any in your family from your mother’s side happens to have any history of malignancy.
hi doctor. im 20 year old unmarried i got my MRI in which it shows ive small cystic lesion or cyst in right adrenex is it serious or by some medications ill be alright please tell me
Any menstrual irregularities? Any other symptom?
I am a 51 year old woman that has a hysterectomy at 38. I only have one ovary left. I had a physical that shows I appear to be through menopause but had a moderate amount of blood in my urine. I had a CT scan of my abdomen and pelvis that showed a low-density mass in the left adnexa having density measurements close to waterr that measured 4.7 cm in axial dimension, and a satellite cystic mass measuring 2.2 cm. The 2 are separated by an apparent thin septum. What would you recommend as next steps?
Biopsy from the lesions.