What does ovarian nodule mean?

Many women suffer from ovarian nodules in life. When a girl has ovarian nodules, her ovulation function will be hindered, and slowly her fallopian tubes will be blocked, which will cause her pregnancy function to decline. In severe cases, she will feel unbearable abdominal pain during menstruation. Therefore, ovarian nodules should be treated as soon as possible. So what does ovarian nodules mean?

1What are cystic nodules, solid nodules, and cystic-solid nodules?

Thyroid cystic nodules: The nodules are mostly filled with fluid or are hollow. It is round in shape, with a diameter of 2 to 5 cm, smooth, generally painless or slightly painful, and moves up and down with swallowing.

Solid thyroid nodules: There are fillers inside the nodules. The solid nodules are clearly demarcated from the surrounding thyroid tissue. The diameter is generally 3 to 4 cm. The nodules are hard and can produce compression. Patients often show symptoms such as fatigue, weight loss, palpitations, arrhythmias, heat intolerance and sweating.

Thyroid cystic-solid nodules: a type of nodule between cystic and solid, with a cystic surface and a solid center, but thyroid function tests are mostly normal.

Mixed thyroid nodules: The nodules are partly cystic and partly solid. The shape is relatively regular, microcalcification may occur, and blood flow signals can be seen in the solid part.

2. Beware of solid nodules found on ultrasound

Ultrasound examination can directly distinguish the cystic and solid nature of nodules. Generally speaking, both solid and cystic nodules have the possibility of malignant transformation; the probability of malignant transformation is as follows: solid nodules > cystic-solid nodules > single cystic nodules > mixed nodules > multiple cystic nodules.

Many people will ask if solid nodules are a death sentence and must be malignant. In fact, solid nodules are not necessarily malignant. Malignant lesions of solid nodules often have the following manifestations:

1. Regularly shaped cystic-solid mixed echo nodules with blood flow signals in the solid part. It is more common in follicular adenomas and adenomatous nodules.

2. Regularly shaped, uniform, solid echo nodules. Microcalcifications can sometimes be seen inside the nodules, and the blood flow is abundant. It is more common in follicular adenomas, adenomatous nodules, and thyroid cancer.

3. Irregularly shaped solid echo nodules, sometimes with microcalcifications visible inside the nodules and abundant blood flow inside. It is more common in thyroid cancer.

4. Solid echo nodules with irregular shapes and extraglandular infiltration. Sometimes microcalcification can be seen inside the nodules, and the internal blood flow is abundant. It is more common in thyroid cancer.

5. Thyroid cancer mostly presents as solid low-echo. If cystic lesions occur, the solid part accounts for a larger proportion than the cystic part, and the number of papillary carcinomas in the solid component is greater, the base is wider, and the range is wider.