Actually i did explain the causes for this above, but ill tell you this again. There are three main reasons for complex cysts like these to occur. an ultrasound alone CANNOT differentiate between the causes and thats why a tissue diagnosis is needed. That means that either a biopsy would be done or a laproscopy would be done. This is a procedure in which a camera is inserted into your pelvis to look directly at the cysts and take a sample if needed.
The three possible causes here can be,
- Dermoid cysts -These are the most common type and develop during the childbearing age. The cysts contain structures such as the teeth, hair, nail, bone, or sweat glands. It is a slow growing and rarely cancerous.
- Cystadenomas - Cystadenomas are benign cysts that develop from cells that cover the outer layer of the ovary. There are two types, mucinous and serous cystadenoma. Mucinous adenoma contains a sticky, thick fluid. It can grow up to 30 cm (12 in) in diameter and weigh up to 100 pounds. It can fill up the abdomen and cause pressure on other structures such as the bladder and bowel. Serous cystadenoma contains a thin, watery fluid.
- Endometriomas - Endometriomas are blood-filled cysts that arise from endometriosis. Endometriosis is a condition wherein the cells that are normally found inside the uterus grow outside the uterus, such as the ovaries, fallopian tubes, bladder, or bowel. Endometriomas care also called chocolate cysts. This is because the cells that grow in the ovaries bleed and become brown over time and result in a brown-colored cyst.
Now as i said previously this can also be due to ovarian cancer, a simple ultrasound cannot differentitate between these causes and you need additional tests. Test like CA-125 etc.
Now as far as your ultrasound goes,
There may be complex cystic processes in both adenxa.
This means that there are complex cysts in the tissue alongside where the uterus should be (yours has been removed, the adnexa refers to the structures which are near the uterus namely ovaries and fallopian tubes)
On finding right measures 3.4cm diameter and could contain low levels internal echoes and septation
This means that the right sided cyst is large (3.4 cm in size) and contains material which shows up as opaque on the ultrasound. Internal echoes may be due to blood clots, blood itself, other tissue materials like hair skin, thick pus inside the cyst. This only means that there is something opaque insid ethe ovary as to what it can be? that would be determined on a CT scan and laproscopy
. On left side may relate to 2 adjacent cystic structures one measuring 2cm in diameter and other 1.4cm in diameter.
This basically tells you that there are two cysts on the left side which are smaller than the ones on the right side
Left ovary size is 3.9cm and right ovary size is 3.5cm.
This just tells you the size of the ovaries , which are relatively larger than usual.
Now as to what this means, this means that you have complex cysts in the ovaries which need further tests like CT scans and laproscopy and blood tests like CA-125 to determine the cause. But considering that most complex cysts are benign and that the cysts are not very large and there are no other signsof cancer, i think these cysts are likely to be due to a benign cause.
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