The female patient was scared by this and insisted again: "Those doctors didn’t tell these things before, what do you an by malignant?"
"Don’t worry—" Doctor Lee Yuen wanted to say a few words to comfort the patient’s emotions, saying a few more words before coughing again. This ti, she coughed so much that she couldn’t stop and had to put a throat lozenge in her mouth to catch her breath, signaling the student opposite to quickly continue speaking for her.
Xie Wanying took over: "Doctor Lee ans that, according to the current examination report, the likelihood of this cyst being benign is relatively high, and it could possibly be an ovarian teratoma. The probability of an ovarian teratoma being benign is over ninety percent. Of course, the final result requires surgery to remove the cyst and perform a pathological examination to determine whether it is malignant or benign."
The patient was not satisfied with this explanation and complained to the doctor, "Doctor, I ca to check why I can’t get pregnant, and you said I have PCOS, then a cyst, then benign or malignant. What exactly do you an?"
Not all patients are intellectuals. The proportion of people with higher education in the country is low. It is relatively difficult for laypeople to understand professional dical terms without a certain cultural and knowledge background. Doctors can only do their best to explain more.
"What we talked about, polycystic ovary syndro, and ovarian cysts can both cause infertility. There are many causes of infertility; for example, the vaginitis you were previously diagnosed with can cause infection inside the uterus, leading to infertility. Doctors need to help you identify the ultimate cause and provide the appropriate treatnt, otherwise, it will be ineffective. For instance, the vaginitis you treated for a long ti improved but didn’t resolve the issue, correct?" Xie Wanying said.
The patient seed to understand so of these words and asked again, "Why was I previously told I had PCOS, but now it’s an ovarian cyst?"
The patient couldn’t possibly emphasis having PCOS for no reason. In fact, looking at the patient’s dical records, one would find that the first B ultrasound done at a small hospital didn’t differ much from the one done at a large hospital, but the B ultrasound doctor directly made a diagnosis called suspected PCOS. The small hospital’s B ultrasound technician’s skills are sowhat lacking, frequently resulting in incorrect judgnts.
There are so similarities between PCOS and ovarian cysts, as the B ultrasound shows them as small bubbles. PCOS involves multiple underdeveloped follicles on both sides of the ovaries that are retained inside, belonging to follicles, which makes them relatively small in size, generally requiring more than a dozen for a dical diagnosis.
Finding polycystic ovaries via B ultrasound doesn’t diagnose PCOS; it needs to be combined with other clinical symptoms like excessive hair growth, acne, and weight gain due to elevated androgen levels. Therefore, with Doctor Lee’s rich clinical experience, she can generally assess whether this patient has PCOS by looking at the patient’s face and body type.
Having elevated androgen levels makes it PCOS, indicating this disease involves high androgen levels and is thus an endocrine tabolic disorder. Current dical ans have many drugs to handle high androgen levels. Having PCOS should not be overly frightening, as dication, ovarian drilling, or IVF can basically resolve the infertility issue.
Why did other hospital doctors pay more attention and advise her to see a renowned doctor after transferring hospitals? Precisely because it wasn’t PCOS.
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