
What Does Bulky Cervix Indicate?

pap smear and colposcopy
Detailed Answer:
Hello Ms XXXXXXX , thanks for trusting health care magic.
The report attached with your query is Suggestive of a lesion in cervix which can be
- Nabothian cyst which is very common and is kind of a result of local infection
- Cancerous growth in cervix which is less common but serious problem.
In my opinion she needs to get a Pap Smear and colposcopy to see for the nature of nature of growth and status of vascular supply (as seen on Doppler ultrasound)
Only after these investigations we can decide further course of management.
Also I would like to know the complaints for which ultrasound was done and her menstrual history (menopausal or still menstruating and if any episode of post menopausal bleeding)
In case you have other questions I will be happy to help.


Endometrial biopsy
Detailed Answer:
Hi, in my opinion she needs colposcopy, pap smear and fractional curettage of uterus.
Fractional curettage is a procedure which gives us sample of uterine endometrium for histological analysis and helps us to rule out cancer of body of uterus.
She needs it because
- MRI whether normal or abnormal, analysis of endometrial biopsy will still be needed
- she has irregular bleeding pattern
- age factor of 50 years
- endometrial thickness in ultrasound is 10 mm (normal for her age is 4 mm)
So get the above listed investigations and then we can plan next step.
All the best.

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