The pelvic mass is heterogeneous and low-echoic

The heterogeneous low-echo pelvic mass may be related to a variety of diseases, including cysts, inflammation, tumors, etc. It is necessary to go to the hospital for ultrasound examination and related examinations as soon as possible to confirm the diagnosis and take appropriate treatment measures. The specific causes can be divided into pathological changes and physiological changes. It is important not to delay medical treatment.

1 Possible Cause

The pelvic mass is heterogeneous and hypoechoic, which means that the echo distribution is uneven and low in echo during ultrasound examination. This usually indicates that there may be different tissues such as cystic fluid, solid tissue or necrotic tissue inside, which may be related to the following situations:

Physiological cysts: such as corpus luteum cysts or abnormal follicular development, usually form and disappear during the menstrual cycle. This situation generally does not require treatment, but regular ultrasound examinations are required.

Inflammatory lesions: Pelvic inflammation such as salpingo-oophoritis can form abscesses, which appear as heterogeneous low echoes and require antibiotic treatment or even local drainage.

Tumor lesions: such as benign myomas, atypical cysts or malignant tumors, often have irregular borders and abnormal blood flow signals, and require further CT/MRI examination and pathological diagnosis.

2. Treatment methods

Different causes of pelvic masses require personalized treatment strategies:

If pathological lesions are excluded and it is a physiological cyst, observation can be chosen, usually with ultrasound recheck within 1-3 months. If it disappears, no treatment is required. For patients with acute abdominal pain caused by corpus luteum cyst rupture, short-term analgesics and hormone intervention can be used.

For inflammatory masses, antibiotic treatment should be used as early as possible, such as levofloxacin + metronidazole combination treatment. Depending on the severity of the disease, surgical drainage may also be required.

For tumors, if they are benign fibroids, medications such as hormone regulators or surgical removal such as extirpation are given according to symptoms. If malignant lesions are suspected, further biopsy and tumor marker screening are required, and sometimes staging surgery and subsequent chemotherapy are required.

Regardless of whether the cause is complex or not, if a pelvic mass is found to be heterogeneous and hypoechoic, it must be taken seriously and treated promptly. Ultrasound, blood tests, or even invasive tests should be performed to determine the nature of the mass. Delaying diagnosis and treatment may lead to worsening of the condition, especially for malignant diseases. Ultrasound reports are only preliminary screening methods, and the final diagnosis requires a doctor's accurate evaluation.