正文
太太有下腹痛等症狀附2次B超檢查結果請幫助分析。
我們在加拿大，醫生看了結果後隻讓幾周後複查。 初步結論是可能為 6.2 厘米hemorrhagic cyst 血性囊腫。
2次B超檢查，5月， 9月。 左側的增長很快。現在 6.2 厘米。
我們覺得這麽大的體積等它自己吸收有些玄。不知道從這麽大的體積看是否需要盡快做手術切除？
如果手術切除比較好，需要多長時間內做比較好？指望加拿大醫生慢吞吞複查，決定是否手術，再等手術排期，看來1年也排不上。如果必須盡早手術，我們就考慮回國自費去做，這是不是好的選擇（不必顧慮經濟原因）？
再就是不知道會不會有更嚴重的情況需要及早采取措施預防？
請各位幫助分析指導。先謝過各位。
**************************************************
The result of 2009-09-05
**************************************************
Pelvic Sonogram
-------------------------
Clinical History: Mid Cycle/Intermenstrual Bleeding
DLMP: August 8, 2009
Comparison is made with our prior study dated May 13, 2009 (Exam No: xx-xxxxx).
Again, both transabdominal and transvaginal procedures were done.
The uterus is again anteverted in orientation, and appears normal in size, shape and echotexture now measuring 8.9 cm in length, 5.1 cm in width, and 4.9 cm AP.
Endometrial complex now measures 9.1 mm in thickness.
Right ovary now measures 3.3x1.54x1.46 cm (volume 3.89 cc), and it shows physiological follicles. Left ovary is now significantly enlarged measuring 6 x5.5 x 5.1 cm (volume 103.9 cc) and shows a complex primarily cystic mass measuring 6.2 x 5.3 x 5.8 cm - The mass shows a mural component (likely hemorrhagic cyst showing retracted clot etc).
There is small amount of free fluid in the posterior cul-de-sac (of questionable clinical significance). Benign nabothian cysts are identified in the cervical aspect.
IMPRESSION:
Today\'s sonographic findings are suggestive of:
1. Now, significantly enlarged left ovary with volume 103.9 cc showing what seems to be a 6.2 cm hemorrhagic cyst, which I recommend be followed up sonographically in 6-8 weeks interval to document resolution ( in particular, tumorous pathology to be ruled out).
2. Benign nabothian cysts.
(color flow duplex application was unremarkable).
Thank you for the referral and if you have any questions, I can be reached at xxx-xxx-xxxx
Dr. XXXXXX MD
Consultant radiologists
**************************************************
The result of 2009-05-13
**************************************************
Pelvic Sonogram
-------------------------
Clinical History: Mid Fibroid Uterus, DLMP: April 13, 09
Both transabdominal and transvaginal procedures were attempted.
The uterus is again anteverted in orientation, and appears normal in size, shape and echotexture now measuring 9.1 cm in length, 5.6 cm in width, and 4.9 cm AP.
Endometrial complex now measures 12.2 mm in thickness.
Right ovary now measures 4.1 x 2.3 x 1.9 cm and left 2.4 x 2.2 x 1.2 cm. No adnexal masses are seen. Trace free fluid in the posterior cul-de-sac of questionable clinical significance.
IMPRESSION:
Normal Pelvic Sonogram
Bilateral breast sonogram:
-------------------------
Scanning was performed by high resolution 7.5 MHz color scanner.
Both breasts appear symmetrical. The right breast shows small cyst at 5 o\'clock measuring 0.5 x 0.2 cm. The left breast was unremarkable and showed no solid or cystic nodule.
Right axilla shows a lymph node measuring 1.87 x 0.53 cm and the left axilla shows a lymph node measuring 0.71 x 2.72 cm. Both supra and intra-clavicular regions were also unremarkable.
IMPRESSION:
A small cyst in right breast at 5 o\'clock. Otherwise normal study.
(color flow duplex application was unremarkable).
Thank you for the referral and if you have any questions, I can be reached at xxx-xxx-xxxx
Dr. XXXXXX MD
Consultant radiologists
我們在加拿大，醫生看了結果後隻讓幾周後複查。 初步結論是可能為 6.2 厘米hemorrhagic cyst 血性囊腫。
2次B超檢查，5月， 9月。 左側的增長很快。現在 6.2 厘米。
我們覺得這麽大的體積等它自己吸收有些玄。不知道從這麽大的體積看是否需要盡快做手術切除？
如果手術切除比較好，需要多長時間內做比較好？指望加拿大醫生慢吞吞複查，決定是否手術，再等手術排期，看來1年也排不上。如果必須盡早手術，我們就考慮回國自費去做，這是不是好的選擇（不必顧慮經濟原因）？
再就是不知道會不會有更嚴重的情況需要及早采取措施預防？
請各位幫助分析指導。先謝過各位。
**************************************************
The result of 2009-09-05
**************************************************
Pelvic Sonogram
-------------------------
Clinical History: Mid Cycle/Intermenstrual Bleeding
DLMP: August 8, 2009
Comparison is made with our prior study dated May 13, 2009 (Exam No: xx-xxxxx).
Again, both transabdominal and transvaginal procedures were done.
The uterus is again anteverted in orientation, and appears normal in size, shape and echotexture now measuring 8.9 cm in length, 5.1 cm in width, and 4.9 cm AP.
Endometrial complex now measures 9.1 mm in thickness.
Right ovary now measures 3.3x1.54x1.46 cm (volume 3.89 cc), and it shows physiological follicles. Left ovary is now significantly enlarged measuring 6 x5.5 x 5.1 cm (volume 103.9 cc) and shows a complex primarily cystic mass measuring 6.2 x 5.3 x 5.8 cm - The mass shows a mural component (likely hemorrhagic cyst showing retracted clot etc).
There is small amount of free fluid in the posterior cul-de-sac (of questionable clinical significance). Benign nabothian cysts are identified in the cervical aspect.
IMPRESSION:
Today\'s sonographic findings are suggestive of:
1. Now, significantly enlarged left ovary with volume 103.9 cc showing what seems to be a 6.2 cm hemorrhagic cyst, which I recommend be followed up sonographically in 6-8 weeks interval to document resolution ( in particular, tumorous pathology to be ruled out).
2. Benign nabothian cysts.
(color flow duplex application was unremarkable).
Thank you for the referral and if you have any questions, I can be reached at xxx-xxx-xxxx
Dr. XXXXXX MD
Consultant radiologists
**************************************************
The result of 2009-05-13
**************************************************
Pelvic Sonogram
-------------------------
Clinical History: Mid Fibroid Uterus, DLMP: April 13, 09
Both transabdominal and transvaginal procedures were attempted.
The uterus is again anteverted in orientation, and appears normal in size, shape and echotexture now measuring 9.1 cm in length, 5.6 cm in width, and 4.9 cm AP.
Endometrial complex now measures 12.2 mm in thickness.
Right ovary now measures 4.1 x 2.3 x 1.9 cm and left 2.4 x 2.2 x 1.2 cm. No adnexal masses are seen. Trace free fluid in the posterior cul-de-sac of questionable clinical significance.
IMPRESSION:
Normal Pelvic Sonogram
Bilateral breast sonogram:
-------------------------
Scanning was performed by high resolution 7.5 MHz color scanner.
Both breasts appear symmetrical. The right breast shows small cyst at 5 o\'clock measuring 0.5 x 0.2 cm. The left breast was unremarkable and showed no solid or cystic nodule.
Right axilla shows a lymph node measuring 1.87 x 0.53 cm and the left axilla shows a lymph node measuring 0.71 x 2.72 cm. Both supra and intra-clavicular regions were also unremarkable.
IMPRESSION:
A small cyst in right breast at 5 o\'clock. Otherwise normal study.
(color flow duplex application was unremarkable).
Thank you for the referral and if you have any questions, I can be reached at xxx-xxx-xxxx
Dr. XXXXXX MD
Consultant radiologists
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