What Does Ovarian Cyst Of Size 2.3 Cm X 2.4 Cmn Inidcate?

Posted on Fri, 3 Oct 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 3 Oct 2014 Answered on

Mon, 27 Oct 2014 Last reviewed on

Question : I just had pelvic and transvaginal ultrasounds because I've been having pelvic and back pain and, since I won't get the results from my doctor until the middle of next week, picked up a CD of the images. I am 44 and two years post-menopausal. One pregnancy 7 years ago, have not been on oral contraceptives for 15 years. My right ovary measured more than twice as large as the left (left 6 cc and right 14 cc) and my right ovary is showing a two-sectioned cyst with red and blue color on the dividing line of the cyst. The two sections of the cyst together measure about 2.3 cm x 2.4 cm. Can you tell me what this means?

Answered by Dr. Dr. Rakhi Tayal (26 minutes later)

Brief Answer:
Benign ovarian cyst likely.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
An ovarian cyst of size 2.3 cm X 2.4 cm with an internal septation is likely to be a benign cyst.
Ovarian cysts are found on transvaginal ultrasound in nearly all premenopausal women and in up to 14.8% of postmenopausal women. The majority of these cysts are functional in nature and benign.

If I were to be your treating doctor, I would suggest the following tests:
1) Serum CA-125 Levels
2) MRI of pelvis to see contents of cyst and density.

Please wait for your follow up to see gynecologist with these reports who can guide you regarding various surgical & non surgical options of treatment.
Usually only wait and watch is needed for the benign cysts.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Rakhi Tayal (11 minutes later)

Thanks, Dr. Tayal - I just uploaded three of the images from my ultrasound, this is the first time I've used this site and it took me a few tries to figure out how to export them. I don't know if those give you any more information or not. Do you have any idea why my right ovary would be so much larger than the left? Is this common? Most of my pain is on the right side and it got worse yesterday when my son (he's 7) jumped up to give me a hug and hung on me and I lifted much of his nearly 60 pounds and felt a sharp pain that hasn't really gone away. Thanks again.

Answered by Dr. Dr. Rakhi Tayal (1 hour later)

Brief Answer:
Simple cyst likely.

Detailed Answer:
Hello.
Thanks for writing again.
I have seen the images attached. There is a simple ovarian cyst with a thin septa with no solid tissue in the cyst. It is likely to be a simple cyst with intact vascularity.
The larger size of the ovary is due to the presence of the cyst. It can cause mild stretching of the round ligament causing a dull ache in the area. This is not worrisome. Just go for your follow up and get your tumor markers evaluated.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar