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Cancer (Expert Forum)
Complex cyst & Endometrium & Myometrium Heterogeneuos
Answered by
Kamal S Saini, MD, MRCP (UK), DM - Medical Oncology
Bangalore Institute of Oncology
Bangalore - India
MedHelp's International Cancer forum. Questions related to Cancer will be answered by a medical expert.
Complex cyst & Endometrium & Myometrium Heterogeneuos
by angeldear73, Aug 11, 2009 05:42PM
Can some please explain to me what all these means..
I went in for this ultrasound & have a biopsy scheduled for a possible endometrium polyp that was found 3 years ago while under going a work up for a complete pelvic floor prolapse. I lost my insurance back then and just got insurance recently and was starting my work for repair. My ultrasound 3 yrs ago only showed the possible polyp. I am 36 year old I have a family history of female cancers.
TRANSABDOMINAL ULTRASOUND
Uterus is 9.3 cm in length x 4.3 cm transverse. The Edometrium measures appx. 1.2 cm in thickness. This should be more accurately evaluated and measured on the endovaginal images. No discrete myometrial abnormality was demonstrated on the transabdominal images.
The right ovary was normal in size. The is a cystic structure present measuring appx 2.2 cm
Left ovary not seen
ENDOVAGINAL ULTRASOUND
The endometrium measures appx. 1.1 cm in thickness. There is some heterogeneous internal echotexture. No asymmetric vascularity is seen. There is a mild heterogeneous echotexture to the myometrium and scattered vascularity., but no discrete mass is identified. The cervix has a few nabothain cysts.
The right ovary is 2.5 x2.7x2.5 cm. There is a 1.5 x1.8 x1.8 cm cyst. it has slightly thicken walls and some rim vascularity. No definite internal vascularity is seen.
Left ovary is not seen.
There is a tiny amount of free fluid within the pelvis.
IMPRESSION
1. The endometrium is 1.1 cm in thickness. It has heterogeneous internal echotexture with no discrete mass identified.
2. The myometrium is also heterogeneous in appearance without a discrete fibroid identified.
3. A 1.8 cm right ovarian cyst is slightly complex with thick walls and mild rim enhancement. No internal septations or asymmetric nodularity is seen.
4. The left ovary was not seen by either transabdominal or endovaginal imaging.
I went in for this ultrasound & have a biopsy scheduled for a possible endometrium polyp that was found 3 years ago while under going a work up for a complete pelvic floor prolapse. I lost my insurance back then and just got insurance recently and was starting my work for repair. My ultrasound 3 yrs ago only showed the possible polyp. I am 36 year old I have a family history of female cancers.
TRANSABDOMINAL ULTRASOUND
Uterus is 9.3 cm in length x 4.3 cm transverse. The Edometrium measures appx. 1.2 cm in thickness. This should be more accurately evaluated and measured on the endovaginal images. No discrete myometrial abnormality was demonstrated on the transabdominal images.
The right ovary was normal in size. The is a cystic structure present measuring appx 2.2 cm
Left ovary not seen
ENDOVAGINAL ULTRASOUND
The endometrium measures appx. 1.1 cm in thickness. There is some heterogeneous internal echotexture. No asymmetric vascularity is seen. There is a mild heterogeneous echotexture to the myometrium and scattered vascularity., but no discrete mass is identified. The cervix has a few nabothain cysts.
The right ovary is 2.5 x2.7x2.5 cm. There is a 1.5 x1.8 x1.8 cm cyst. it has slightly thicken walls and some rim vascularity. No definite internal vascularity is seen.
Left ovary is not seen.
There is a tiny amount of free fluid within the pelvis.
IMPRESSION
1. The endometrium is 1.1 cm in thickness. It has heterogeneous internal echotexture with no discrete mass identified.
2. The myometrium is also heterogeneous in appearance without a discrete fibroid identified.
3. A 1.8 cm right ovarian cyst is slightly complex with thick walls and mild rim enhancement. No internal septations or asymmetric nodularity is seen.
4. The left ovary was not seen by either transabdominal or endovaginal imaging.
Doctor's Answer
by Kamal S Saini, MD, MRCP (UK), DM, Aug 13, 2009 08:51PM
, Aug 13, 2009 08:51PMTo: angeldear73
Hi,
There is no specific feature of cancer in the ultrasound report you have mentioned.
However, there are some findings that require further workup. For example, on transabdominal scan, there is a "cystic structure" approx 2.2 cm in size. On vaginal scan, this was found to be a right ovarian cyst, with some complex shadows. This needs investigation.
Given your family history, I would recommend that you see your gynecologist for a discussion about CT scanning and CA125 measurement.
The CT scan will also better define the myometrium, which on ultrasound shows some heterogenity.
All the best, and God Bless!
There is no specific feature of cancer in the ultrasound report you have mentioned.
However, there are some findings that require further workup. For example, on transabdominal scan, there is a "cystic structure" approx 2.2 cm in size. On vaginal scan, this was found to be a right ovarian cyst, with some complex shadows. This needs investigation.
Given your family history, I would recommend that you see your gynecologist for a discussion about CT scanning and CA125 measurement.
The CT scan will also better define the myometrium, which on ultrasound shows some heterogenity.
All the best, and God Bless!
