AboutJuliet Seigle, MD Expertise I am a fully trained radiation oncologist and can answer many questions about cancer and its treatment. I can't answer questions about specific chemotherapy agents. I have also worked in general medicine and emergency medicine, so I can give advice about these areas as well. I would like to do this based on my very positive experience with one of your experts (real estate).
Experience I currently am working as a radiation oncologist in the DC metropolitan area. I have done research and given talks on neurooncology (tumors of the nervous system) at national meetings. I have been trained in use of a new technology, the CyberKnife. I was emergency physician at a busy communicty hospital (Calvert Memorial Hospital) in Maryland for 3 years (1989-1991).
Organizations ASTRO (American Society of Therapeutic Radiation Oncology)
Education/Credentials Georgetown University Hospital: fellowship radiation oncology 2005-2007
Georgetown University Hospital: residency radiation oncology 1991-1994
Georgetown University Hospital: residency neurosurgery 1984-88
Awards and Honors Award for best abstract - CyberKnife Users meeting 2005 (topic: chordoma)
ASTRO research award $30,000, 1993
Question A month ago I had an ultrasound done and this was the finding:
"The left ovary is enlarged, measuring 6 cm x 5.3 cm x 5.3 cm. Within the left ovary is a complex cystic structure measuring 4.4 x 4.8 x 4.5 cm. Some septation is present with half of the cystic structure having either dense internal debris or a somewhat solid component. No color flow is appreciated in this abnormal half of the cystic structure. No other mass or lesion or free fluid is present wihtin the left adnexa. This is a nonspecific finding and both benign and malignat etiologies must be considered. Recommend standard, short interval follow-up ultrasound to documented regression and/or stability."
Should I be worried about this or will it most likely go away on it's own? I had a partial hysterectomy in 2000 from cervical cancer and I also had precancerous tissue on some polyps last year when I had a colonoscopy done.
Any suggestions or concerns I need to be aware of that you may have for me would be greatly appreciated.
Thank you very much for you input.
Answer Jennifer,
Did you ever have an imaging study in the past which included the ovaries (such as prior ultrasound or CT scan, which often are obtained in patients with cervical cancer)? This can help sort out whether this 'cystic structure' is new or not. In my opinion, especially for someone who has had cervical cancer, a CAT scan (with contrast)or MRI scan would be worthwhile now to help clarify the situation, which could then be compared with prior studies. I also suggest you see a gynecologic oncologist, if you have not already done so, for an expert opinion.
