Patient's question:
B examination results on August 14th: The position, size, and shape of the uterus were normal, with uniform muscle wall echoes. The endometrial thickness was approximately 14mm. No abnormal echo masses were observed in the left upper part of the uterus. A cystic echo measuring 5042mm was seen in the left adnexal region, with clear boundaries and poor internal sound transmission, showing fine and weak floating light spots. No normal findings were observed in the right adnexal region. Point-like blood flow signals were observed around the cystic mass mentioned above.Detailed examination on September 14th: The endometrial thickness was approximately 17mm, with the same findings as above. The cystic mass measured 4845mm and was suspected to be a chocolate cyst.
Detailed examination on October 14th at another hospital: A mass image measuring approximately 5038mm was observed in the left adnexal region, with a round shape and homogeneous, solid-like internal echoes. Dense small light spots were seen inside. It appeared similar to a cyst, with slightly thick walls, smooth texture, and clear boundaries. The cyst walls
Doctor's answer:
Generally speaking, if the diameter of an ovarian cyst is less than 5 centimeters and there is no evidence suggesting a tumor, it is often a functional cyst. Close follow-up is recommended, which means having a thorough check-up every 2-3 months. The follow-up interval can then be adjusted based on the situation. If the cyst does not grow or shrink after 4-6 weeks, the likelihood of it being a functional cyst is higher. If the cyst decreases significantly, especially if it is larger than 5 centimeters, or if there is sudden lower abdominal cramping, it may be a tumorous cyst or a recurrence or rupture of the cyst. In such cases, surgery should be performed to confirm its benign or malignant nature, and removal may be necessary if needed.