Patient's question:
Symptoms and Test Results: Recent sharp pain in the lower right abdomen. A detailed ultrasound examination at the hospital confirmed "normal size and shape of the uterus, uniform echoes in the uterine region, no space-occupying inflammatory lesions observed in the left adnexal region. A 4.03.5cm hypoechoic mass was found in the right adnexal region, with regular morphology. No pelvic fluid accumulation was observed." The alpha-fetoprotein (AFP) test result was 4.60 ng/mg (reference range: 0-8.1), and the CA125 test result was 24.600 u/mL (reference range: 0-35).History of Treatment and Effect: The current treatment plan involves intravenous infusion of Ceftriaxone and Tinidazole daily, which has been administered for 4 days. Symptoms have improved, but the pain still occurs intermittently.
Desired Help:
1. Based on the test results, can it be diagnosed as an inflammatory mass rather than other serious diseases such as tumors?
2.
Doctor's answer:
In your case, it is more likely that the possibility of an inflammatory nodule is high, and the possibility of a tumor is not significant. Currently, the only option is to first treat the inflammation with intravenous fluids for one week and then re-examine for comparison. If necessary, you can take oral medications such as Ginkgo Biloba Syrup and Guizhi Fuling Capsules.Make sure to rest and maintain a light diet, keep a positive mood, and have regular follow-up examinations. Generally, the condition is not serious.
Additionally, you can undergo a color Doppler ultrasound or pelvic CT scan for better resolution.