Daughter Cyst in an ovarian cyst and an ovarian Mass. скачать в хорошем качестве

Daughter Cyst in an ovarian cyst and an ovarian Mass.

This video shows Daughter Cyst in an ovarian cyst and an ovarian Mass. The daughter cyst sign indicates an uncomplicated ovarian cyst. It is a peripherally based simple cyst within a larger simple cyst. On pathology, it represents a stimulated ovarian follicle. This sonographic finding must be differentiated from an ectopic pregnancy in any woman with the potential to become pregnant. A simple cyst typically is round or oval, anechoic, and has smooth, thin walls. It contains no solid component or septation (with rare exceptions), and no internal flow is visible on color Doppler imaging. For Cyst less than 3 cm, No action is necessary; the cyst is a normal physiologic finding and should be referred to as a follicle. The diagnosis of a ruptured ovarian cyst usually starts with an ultrasound. If the cyst has ruptured, the ultrasound will show fluid around the ovary and may even reveal an empty, sac-like ulcer. A complete blood count (CBC) may be used to check for signs of infection or other abnormalities. While most cysts do not cause symptoms if a cyst ruptures you may feel sudden pain and discomfort. If you have been diagnosed with ovarian cysts and are trying to get pregnant, it's important to know that ovarian cysts don't typically cause problems with fertility. However, there are always exceptions to the rule. The shape and intensity of the echoes depend on how dense the tissue is. For example, most of the sound waves pass right through a fluid-filled cyst and send back very few or faint echoes, which makes them look black on the display screen. A cyst is a sac or capsule that's filled with tissue, fluid, air, or other material. A tumor is usually a solid mass of tissue. A doctor may feel a cyst during a pelvic exam. Ultrasound. An ultrasound can pinpoint the location, size, and makeup of ovarian cysts. Abdominal ultrasound and vaginal ultrasound can evaluate ovarian cysts. The egg grows inside a tiny sac called a follicle. When the egg matures, the follicle breaks open to release the egg. follicle cysts form when the follicle doesn't break open to release the egg. This causes the follicle to continue growing into a cyst. Sometimes, in women who are past their menopause, the ovaries do not show up on an ultrasound. This means that the ovaries are small and not likely to be cancerous. If you have a suspicious-looking cyst, your specialist will recommend that you have surgery to remove it. A cyst is a sac of tissue that is filled with another substance, such as air or fluid. Tumors are solid masses of tissue. Cysts can form anywhere on the body, including on the bones and soft tissues. Most cysts are noncancerous, although there are some exceptions. Commonly accepted endovaginal ultrasound values are as follows: Premenopausal In premenopausal patients, there is significant variation at different stages of the menstrual cycle. • during menstruation: 2-4 mm 1,4 • early proliferative phase (day 6-14): 5-7 mm • late proliferative/preovulatory phase: up to 11 mm • secretory phase: 7-16 mm • following dilatation and curettage or spontaneous abortion: less than 5 mm, if it is thicker consider retained products of conception Please note that these measurements are a guide only, as endometrial thickness may be variable from individual to individual. Postmenopausal The postmenopausal endometrial thickness is typically less than 5 mm in a postmenopausal woman, but different thickness cut-offs for further evaluation have been suggested. • vaginal bleeding (and not on tamoxifen): o suggested upper limit of normal is less than 5 mm o the risk of carcinoma is ~7% if the endometrium is more than 5 mm and 0.07% if the endometrium is less than 5 mm o On hormonal replacement therapy: the upper limit is 5 mm • No history of vaginal bleeding: o the acceptable range of endometrial thickness is less well established in this group, cut-off values of 8-11 mm have been suggested o the risk of carcinoma is ~7% if the endometrium is more than 11 mm, and 0.002% if the endometrium is less than 11 mm • if on tamoxifen less than 5 mm (although ~50% of those receiving tamoxifen have been reported to have a thickness of more than 8 mm ) If a woman is not experiencing bleeding, and the endometrium is thickened, the guidelines are less clear. Either a repeat transvaginal ultrasound or a referral to a gynecologist is reasonable.