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Hypoechoic ??  Should I be concerned? Hypoechoic ?? Should I be concerned?

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Unread 07-15-2009, 03:42 PM
Hypoechoic ?? Should I be concerned?

Hello. I hope someone can help me with this question. I am 36 yrs old and scheduled for a LAVH in a couple of weeks. My Uterus measures about 4 months pregnant with Fibroids. My left ovary has a complex mass. My first CA 125 was a 76 then my second one was a 38. said that was a great sign. Today I called the office because of an increase in abdominal pain (down my leg, around my abdominal area to my spine). The nurse was looking at my chart and said something about a Hypoechoic area.

What is my Hypoechoic area. She then mumbled something about a mass and then moved on to medications. I was stuck on trying to remember that term so I could look it up. I did not find much info on Hypoechoic area. Can anyone tell me what that is and if I should be concerned? With the complex cyst, slightly elavaited CA 125 and then her mentioning Hypoechoic, I'm a bit anxious. Should I be concerned?
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Unread 07-15-2009, 03:54 PM
Re: Hypoechoic ?? Should I be concerned?

If it helps, the is a cut and paste from my ultrasound results:
with a complex hypoechoic lesion measuring 9.4 x 8.8 x 8.3 cm,
I'm not sure what it means either but I know that my dr. is concerned enough because of the cyst that he's asked an oncologist to assist with the surgery. Has your dr. mentioned an oncologist to you? You should ask about it. The CA 125 is somewhat unreliable, particularly in pre-menopausal women. I wouldn't go into panic mode (I've been there and it's not a fun place ), but I would ask some questions of your dr. My dr. told me yesterday that IF he found any cancer during my surgery and an oncologist wasn't there, I'd have to undergo a 2nd extensive surgery to remove lymph nodes. There's no way I want to go thru that, so I appreciate him being cautious.
Unread 07-16-2009, 08:09 AM
Re: Hypoechoic ?? Should I be concerned?

Catarina- Thank you for your reply. I'm still a bit confused as to what hypoechoic means. My dr does have an oncologist that he can call in during surgery if things do not look right. And I know all about the "panic mode". I have been there myself several times in the last month. I'm sure I will be there again right before my surgery.

Good luck to you next week as you head off to the castle. I will keep you in my prayers.
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Unread 07-16-2009, 09:05 AM
Re: Hypoechoic ?? Should I be concerned?

Hypoechoic is a radiologic term relating to echoes measure in your scan . The other possibility is hyperechoic. It helps the radiologist determine the consistency of the mass. Of course, there is no sure way to know if it is malignant without surgery in relation to ovarian cancer. I think most of us who had a malignant ovarian mass had the reading of hypoechoic on our scans. However, other benign neoplasms can cause read that way as well (dermoids and endometriomas for example). It is good your dr. is having a gyn/onc present for your surgery. The decrease in your CA-125 is a good sign. Usually, with ovarian cancer, the CA-125 doesn't decrease. It sometimes isn't raised at all even with malignancy and it isn't that reliable. But, if it is raised because of ovarian cancer, it usually doesn't decrease until after surgery or chemo. It could be raised from endometriosis or some other condition which would account for the fluctuation in your numbers. The size of your mass isn't mentioned but usually malignant masses are greater than 5cm. You are doing the right thing by getting it removed and having a gyn/onc there. I would worry about the hypoechoic part. I have cysts in my liver and kidneys that are hypoechoic and were determined to be benign. Best of luck to you.
Unread 07-16-2009, 09:49 AM
Re: Hypoechoic ?? Should I be concerned?

Thank you desertday for the information. My mass is just under 5cm. (I think it was 4.6 or 4.8) Im hoping that the CA 125 going down is a good thing and not just a bad reading. I had never heard of Hypoechoic before. But it sounds like it would have been less worrisome if it had been a Hyperochoic. Only a couple more weeks to go before surgery.

Thank you again for the information.
Unread 07-16-2009, 10:07 PM
Re: Hypoechoic ?? Should I be concerned?

I am glad if that helped. I realized I had a typo and said "I would worry" when I meant "I wouldn't worry." But, I think you knew what I meant. I am praying for you and hope all goes well. Please let me know how it goes! ((((Cyber Hugs your way))))

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