Q: I have had two abdominal ultrasounds in the last six months. They have both detected calcium in and around my right ovary. My gynecologist has drawn blood and I am awaiting the results of a CA-125 test. In the meantime, I would like to know what these detections may mean. My doctor mentioned ovarian cancer and I freaked out. I cried, then I began to do some research. I am finding out that someone like me is at low risk: black, 30 years old, one pregnancy (terminated), 5 foot 5 inches, 190 pounds, on birth control pills, non-smoker, eating little red meat or pork. Got any words of wisdom?
A: An ultrasound cannot definitively diagnose "calcium in or around" any structure. That's just an interpretation by the person reading the sonogram. What may appear as high-density echoes, or bright spots on the sonogram, could be due to something entirely different than ovarian cancer.
If you were
postmenopausal, the most likely diagnosis would be a malignancy. But at 30
years of age, the most likely diagnosis is benign cystic teratoma of the
ovary -- a dermoid cyst filled with fatty material and cartilage -- not
ovarian cancer. Those bright spots around your ovary are more likely due
to the presence of teeth or bone in a dermoid cyst than calcifications
associated with cancer. The fact that the finding is on one side rather
than on both sides also argues against a