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Channel: Cancer Survivors Network - Ovarian Cancer
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need help understanding MRI report

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MY HISTORY

I'm still waiting for diagnosis and see the gyn-oncologist on the 22nd but have elevated CA125 and a TVUS found a 2cm solid, vascular nodule on my right ovary. I have most of the symptoms of OC daily and am BRCA+. I'm 39 and premenopausal.

As the US tech had suggested an MRI in the report, my family dr requested one and I jsut go the results and don't get them. I'm hoping someone here with more experience with these terms can help.

MRI REPORT

"The junctional zone is thickened to up to 16mm posteriorly in keeping with adenomyosis.

They could not find the 2cm nodule but there is a very poorly visualized 1.3 cm region of ill-defined hypointensity on the T2-weigthed images which is not resolved on the T1-weighted images. Certain concentrations of proteinaceous fluid or blood products could conceivably give this appearance, as could calcification. Whether this is what was seen on sonography is uncertain. There is no evidence of a dermoid or endometrioma.

A small amount of free fluid is seen within the pelvis."

QUESTIONS

  1. I had never heard of adenomyosis before. Anyone with experience with this? From what I've read now thanks to google it's not associated with cancer but is cells growing where they shouldn't. Isn't that basically what cancer is? Also, the symptoms of this seem to be very similar to OC. Anyone know of what differences in symptoms to consider? (I have a symptom diary and want to ensure I include everything relevant)
  2. Free fluid in the pelvis is concerning but would the report say if this was ascites or ruptured-cyst fluid? Is a 'small amount' concerning or not?
  3. what is proteinaceous fluid? I've googled it and can find nothing.
  4. How would blood products not be from a dermoid?
  5. Before my mastectomies, I once had a mammogram with calcifications on it and the dr said they could be a sign of cancer or turn into cancer. Is that the same for the ovaries?

I know you all aren't drs but any information you have collected with all your collective experiences would be much appreciated.

 

 

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