請教B超可以診斷出卵巢囊腫和卵巢癌的區別嗎?

本帖於 2020-02-19 10:38:09 時間, 由普通用戶 牛妞媽 編輯

九個月前查出兩邊卵巢囊腫,右邊5.5x2.8x3.1cm,左邊3.1x2.7x2.6cm, 上星期複查,右邊沒有變化,左邊長大到4.6x3.8x4.7cm.由於醫生這星期休假,所以還不知後麵是否還有什麽檢查

由於現在沒任何疼痛症狀,隻有月中時有些漲,上網查說超過5cm應該算腫瘤,有可能會變成卵巢癌。請問我應該手術嗎?5cm以上自行消失應該不大可能對嗎?先謝謝大家了

檢查結果如下,

Findings:
The uterus is retroflexed and measures approximately 9.4 x 4.6 x
5.2 cm. Endometrium measures 6 mm in thickness and appears
normal. 1.1 cm right anterior mid intramural fibroid. 1.1 cm left
fundal subserosal fibroid. The right ovary measures 5.6 x 3.1 x
3.1 cm, unchanged. Normal follicles up the periphery. A bilobed
lesion with low-level echoes measures 5 x 2.5 x 3 cm. The left
ovary measures 5.5 x 4 x 5.3 cm and contains a 4.6 x 3.8 x 4.7 cm
unilocular cyst with low-level echoes, increased. Small amount of
normal surrounding ovarian tissue. No free fluid or
hydronephrosis.
 
 
IMPRESSION:
1. The left ovarian cystic lesion compatible with endometrioma
has enlarged mildly. The bilobed lesion in the right ovary has
not changed significantly.
2. Endometrium appears normal with interval removal of an
endometrial polyp.
3. 2 small discrete uterine fibroids.

 

所有跟帖: 

How much is your CA-125 ? Which is very accurate for overran can -hao-hao-cai- 給 hao-hao-cai 發送悄悄話 (0 bytes) () 02/19/2020 postreply 08:51:13

還沒查過ca-125 -牛妞媽- 給 牛妞媽 發送悄悄話 牛妞媽 的博客首頁 (0 bytes) () 02/19/2020 postreply 09:06:35

美國庸醫可能誤命啊? -hao-hao-cai- 給 hao-hao-cai 發送悄悄話 (41 bytes) () 02/19/2020 postreply 10:49:12

這麽嚴重嗎? -牛妞媽- 給 牛妞媽 發送悄悄話 牛妞媽 的博客首頁 (0 bytes) () 02/19/2020 postreply 11:29:26

應該可以看出來 -白兔媽- 給 白兔媽 發送悄悄話 白兔媽 的博客首頁 (30 bytes) () 02/19/2020 postreply 10:06:31

It depends. 有的可以看得出來,有的隻能手術後病理才能確認。Ca125不是診斷依據。不要高就緊張,低就放鬆警惕。 -kanziapple- 給 kanziapple 發送悄悄話 (0 bytes) () 02/20/2020 postreply 02:05:36

謝謝你,我後來也研究了一下,ca125應該是一個參考依據,等下星期看看醫生怎麽說。 -牛妞媽- 給 牛妞媽 發送悄悄話 牛妞媽 的博客首頁 (0 bytes) () 02/20/2020 postreply 11:07:55

請您先登陸,再發跟帖!