Can a tumor cause ovary enlargement?

Question

Hi doctor,

I had a transvaginal ultrasound recently and found my ovary was enlarged, but it was diagnosed as a suspicious tumor. I suffer from PCOS/PMOS, so I have lots of cysts. There is no pain in that area. Menstruation is usually on time, but sometimes it is lighter than expected. I used to take Plan-B (Levonorgestrel) constantly and did not know its consequences.

Please help.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

Let me explain to you PCOS/PMOS (polycystic ovary syndrome/polyendocrine metabolic ovarian syndrome) should be diagnosed with the Rotterdam consensus criteria:

1. Polycystic ovary, either 12 or more follicles or increased ovarian volume more than 3.93 inches.

2. Oligo ovulation or anovulation.

3. Clinical and biochemical signs of hyperandrogenism.

Strategies for reduction of risk:

1. Exercise and weight: It is recommended that lifestyle changes include diet. Exercise and weight loss as the first line treatment for women with PCOS/PMOS for improvement of long-term outcomes along with Metformin.

There is a heterogeneous area on the ultrasound (attachments are removed to protect the patient’s identity). It seems like a benign cyst, but I would appreciate it if you could send a detailed report of the cyst.

The report can allow me to know whether it is a solid or cystic cyst, unilateral or bilateral, or if there are any septa present, what is the thickness of the capsule of the cyst, and if there is any blood supply of the cyst.

There are different cysts based on the causes such as physiological cysts, follicular cysts, and theca lutein cysts. The management depends on the size. If the size is less than 1.96 inches, we will do nothing. But if the size is 1.96 to 2.75 inches, then we will follow up with TVS (transvaginal ultrasound) once for 12 months and see if it disappears, then it is good. If it still persists, then we will follow up again for TVS once for 12 months. If there is an increase in size, we will do an intervention. If the size is more than 2.75 inches, then we do an intervention. So, I suggest you to do the following tests:

Alpha-fetoprotein.
BHCG (beta-human chorionic gonadotropin).
CA -125 (cancer antigen 125).

It seems to be a benign cyst. Do not worry. Send me the details of your TVS report.

I hope this information helps you.

Revert with test results.

Regards.