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Good Day. My Last Ultrasound Showed The Following : The

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Posted on Wed, 31 Mar 2021
Question: Good day.

My last ultrasound showed the following :
The uterus is heterogeneous in appearance with multiple intramural and subserosal fibroids.The two larger
intramural lesions are located within the anterior bodymeasuring 4.3cm and 3.1cm in maximum short axis.Two
large subserosal fibroids are located anteriorly as well as posteriorly within the lower body measuring 3.5cm and
5.2cm respectively.
The endometrium is not positively identified as it is distorted by these fibroids, however no evidence of endometrial
thickening is seen.

Since Sunday I have been spotting. I am 58 and menopausal. Could this a sign of cancer ?
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Follow up: Dr. Indranil Ghosh (0 minute later)
Good day.

My last ultrasound showed the following :
The uterus is heterogeneous in appearance with multiple intramural and subserosal fibroids.The two larger
intramural lesions are located within the anterior bodymeasuring 4.3cm and 3.1cm in maximum short axis.Two
large subserosal fibroids are located anteriorly as well as posteriorly within the lower body measuring 3.5cm and
5.2cm respectively.
The endometrium is not positively identified as it is distorted by these fibroids, however no evidence of endometrial
thickening is seen.

Since Sunday I have been spotting. I am 58 and menopausal. Could this a sign of cancer ?
doctor
Answered by Dr. Indranil Ghosh (7 hours later)
Brief Answer:
There's no evidence of cancer in this USG report

Detailed Answer:
Hi
Thanks for your query.

There's no thickening of endometrium in this report so chance of endometrial cancer is very little. Fibroids are benign too. Because of distortion of endometrium, there may be spotting. But spotting in postmenopausal woman needs further evaluation.

To find out the exact cause and rule out cancer, I do recommend a hysteroscopy exam.

Hope this helps.
Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Indranil Ghosh (0 minute later)
Brief Answer:
There's no evidence of cancer in this USG report

Detailed Answer:
Hi
Thanks for your query.

There's no thickening of endometrium in this report so chance of endometrial cancer is very little. Fibroids are benign too. Because of distortion of endometrium, there may be spotting. But spotting in postmenopausal woman needs further evaluation.

To find out the exact cause and rule out cancer, I do recommend a hysteroscopy exam.

Hope this helps.
Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Indranil Ghosh (10 hours later)
Dear Dr.

Thank you for tour reply. I did see my obgyn and we have scheduled a hysterectomy for next Friday. I have always had a history of endometrial hyperplasia and after an ectopic pregnancy I have only one polycystic ovary and one tube.

So I have read in my case I am predisposed to cancer of the endometrium. I am just praying and hoping it has not started. In 2014 my endometrium was 7mm which is over the average.

I am very worried.
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Follow up: Dr. Indranil Ghosh (0 minute later)
Dear Dr.

Thank you for tour reply. I did see my obgyn and we have scheduled a hysterectomy for next Friday. I have always had a history of endometrial hyperplasia and after an ectopic pregnancy I have only one polycystic ovary and one tube.

So I have read in my case I am predisposed to cancer of the endometrium. I am just praying and hoping it has not started. In 2014 my endometrium was 7mm which is over the average.

I am very worried.
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Follow up: Dr. Indranil Ghosh (2 minutes later)
I should tell you that I did a thyroidectomy in dec2019 so I am on the daily hormone. But I ran out and was not taking any for about 7 days.
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Follow up: Dr. Indranil Ghosh (0 minute later)
I should tell you that I did a thyroidectomy in dec2019 so I am on the daily hormone. But I ran out and was not taking any for about 7 days.
doctor
Answered by Dr. Indranil Ghosh (1 hour later)
Brief Answer:
Yes endometrial hyperplasia may predispose to cancer

Detailed Answer:
But current USG doesn't raise suspicion for cancer. A hysteroscopy will be useful to rule it out. Thyroid is probably unrelated to this.
Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Indranil Ghosh (0 minute later)
Brief Answer:
Yes endometrial hyperplasia may predispose to cancer

Detailed Answer:
But current USG doesn't raise suspicion for cancer. A hysteroscopy will be useful to rule it out. Thyroid is probably unrelated to this.
Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Indranil Ghosh (2 hours later)
Okay. Thanks.

I will update you after the hysterectomy. I am not spotting today but I wonder what actually does cause the spotting ?

Is it that the bleeding was caused by cells that became abnormal. Now that those have fully now dead and more cells are now been mutated and in another month or so more will become abnormal and bleeding will again be seen
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Follow up: Dr. Indranil Ghosh (0 minute later)
Okay. Thanks.

I will update you after the hysterectomy. I am not spotting today but I wonder what actually does cause the spotting ?

Is it that the bleeding was caused by cells that became abnormal. Now that those have fully now dead and more cells are now been mutated and in another month or so more will become abnormal and bleeding will again be seen
doctor
Answered by Dr. Indranil Ghosh (9 hours later)
Brief Answer:
Spotting depends on many factors

Detailed Answer:
sometimes cells are shed then bleeding happens. Then some regeneration is there, so bleeding stops. It's not really related to genetic mutation.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Indranil Ghosh (0 minute later)
Brief Answer:
Spotting depends on many factors

Detailed Answer:
sometimes cells are shed then bleeding happens. Then some regeneration is there, so bleeding stops. It's not really related to genetic mutation.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Indranil Ghosh (1 hour later)
Okay thank you.
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Follow up: Dr. Indranil Ghosh (0 minute later)
Okay thank you.
doctor
Answered by Dr. Indranil Ghosh (23 minutes later)
Brief Answer:
You are welcome

Detailed Answer:
regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Indranil Ghosh (0 minute later)
Brief Answer:
You are welcome

Detailed Answer:
regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (1 minute later)
But just thinking about it I am in menopause so I should not have any cells shedding.
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Follow up: Dr. Indranil Ghosh (0 minute later)
But just thinking about it I am in menopause so I should not have any cells shedding.
doctor
Answered by Dr. Indranil Ghosh (3 hours later)
Brief Answer:
Shedding can happen

Detailed Answer:
This shedding is not due to menstrual cycles but due to distorted anatomy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Indranil Ghosh (0 minute later)
Brief Answer:
Shedding can happen

Detailed Answer:
This shedding is not due to menstrual cycles but due to distorted anatomy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Indranil Ghosh (3 hours later)
Okay thank you. I will update you next week. Have a good weekend
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Follow up: Dr. Indranil Ghosh (0 minute later)
Okay thank you. I will update you next week. Have a good weekend
doctor
Answered by Dr. Indranil Ghosh (6 hours later)
Brief Answer:
Sure

Detailed Answer:
Best wishes
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Indranil Ghosh (0 minute later)
Brief Answer:
Sure

Detailed Answer:
Best wishes
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Indranil Ghosh (4 hours later)
I am sick with worry as I am spotting again after one day without
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Follow up: Dr. Indranil Ghosh (0 minute later)
I am sick with worry as I am spotting again after one day without
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Follow up: Dr. Indranil Ghosh (7 minutes later)
What could this be. Is Friday. too late too wait for the hysterectomy? I have very slight pressure in my sides too.
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Follow up: Dr. Indranil Ghosh (0 minute later)
What could this be. Is Friday. too late too wait for the hysterectomy? I have very slight pressure in my sides too.
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Follow up: Dr. Indranil Ghosh (13 minutes later)
Oh God what is happening. Have you seen this before ?
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Follow up: Dr. Indranil Ghosh (0 minute later)
Oh God what is happening. Have you seen this before ?
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Follow up: Dr. Indranil Ghosh (1 hour later)
Dear Dr

Based on your experience what symptoms combined with spotting would likely indicate cancer ?.
I am also constipated.

Please give me a detailed answer.
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Follow up: Dr. Indranil Ghosh (0 minute later)
Dear Dr

Based on your experience what symptoms combined with spotting would likely indicate cancer ?.
I am also constipated.

Please give me a detailed answer.
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Follow up: Dr. Indranil Ghosh (5 minutes later)
Is there ever a case where spotting is a latex sign of endometrial cancer
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Follow up: Dr. Indranil Ghosh (0 minute later)
Is there ever a case where spotting is a latex sign of endometrial cancer
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Follow up: Dr. Indranil Ghosh (1 hour later)
I think the cause is either the hyperplasia has caused precancerous abnormal cells which WILL become cancerous or they are already cancerous. I think the usg did not pickup the thickness properly. If I find that to be so I shall be very unhappy bv with the lab
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Follow up: Dr. Indranil Ghosh (0 minute later)
I think the cause is either the hyperplasia has caused precancerous abnormal cells which WILL become cancerous or they are already cancerous. I think the usg did not pickup the thickness properly. If I find that to be so I shall be very unhappy bv with the lab
doctor
Answered by Dr. Indranil Ghosh (1 hour later)
Brief Answer:
Friday is not late

Detailed Answer:
spotting can occur in benign cases too. Many times biopsy for spotting reveals hyperplasia, atrophic endometrium, polyps, etc. So it's not cancer always. However, there's no specific sign which can differentiate benign from malignant cause for spotting in a postmenopausal lady (apart from endometrial thickness in USG or MRI). That's why we always evaluate with hysteroscopy.

Moreover, you are already scheduled for hysteroscopy and biopsy. You have mentioned hysterectomy which is removal of uterus but I think your doc will see inside first and take a biopsy (hysteroscopy). We usually do hysteroscopy before deciding on uterus removal.

Friday is just around the corner and you should be fine with that date.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Indranil Ghosh (0 minute later)
Brief Answer:
Friday is not late

Detailed Answer:
spotting can occur in benign cases too. Many times biopsy for spotting reveals hyperplasia, atrophic endometrium, polyps, etc. So it's not cancer always. However, there's no specific sign which can differentiate benign from malignant cause for spotting in a postmenopausal lady (apart from endometrial thickness in USG or MRI). That's why we always evaluate with hysteroscopy.

Moreover, you are already scheduled for hysteroscopy and biopsy. You have mentioned hysterectomy which is removal of uterus but I think your doc will see inside first and take a biopsy (hysteroscopy). We usually do hysteroscopy before deciding on uterus removal.

Friday is just around the corner and you should be fine with that date.

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Indranil Ghosh (41 minutes later)
Okay
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Follow up: Dr. Indranil Ghosh (0 minute later)
Okay
doctor
Answered by Dr. Indranil Ghosh (5 hours later)
Brief Answer:
Yes let's wait for the hysteroscopy

Detailed Answer:
Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Indranil Ghosh (0 minute later)
Brief Answer:
Yes let's wait for the hysteroscopy

Detailed Answer:
Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Indranil Ghosh (8 hours later)
Hi is there anything you can tell me to help me survive to Friday. I am so worried I can't function.

I live in Jamaica. Where are u located ?
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Follow up: Dr. Indranil Ghosh (0 minute later)
Hi is there anything you can tell me to help me survive to Friday. I am so worried I can't function.

I live in Jamaica. Where are u located ?
doctor
Answered by Dr. Indranil Ghosh (14 hours later)
Brief Answer:
Please keep in mind that is is more likely to be benign

Detailed Answer:
Don't think about malignancy all the time, Probability of that is anyway lower.

I am located in XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Indranil Ghosh (0 minute later)
Brief Answer:
Please keep in mind that is is more likely to be benign

Detailed Answer:
Don't think about malignancy all the time, Probability of that is anyway lower.

I am located in XXXXXXX
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Indranil Ghosh

Oncologist

Practicing since :2004

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Good Day. My Last Ultrasound Showed The Following : The

Good day. My last ultrasound showed the following : The uterus is heterogeneous in appearance with multiple intramural and subserosal fibroids.The two larger intramural lesions are located within the anterior bodymeasuring 4.3cm and 3.1cm in maximum short axis.Two large subserosal fibroids are located anteriorly as well as posteriorly within the lower body measuring 3.5cm and 5.2cm respectively. The endometrium is not positively identified as it is distorted by these fibroids, however no evidence of endometrial thickening is seen. Since Sunday I have been spotting. I am 58 and menopausal. Could this a sign of cancer ?