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What Does My Sonography Test Report Indicate?

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Posted on Wed, 7 Oct 2015
Question: 29yro female, recent clinical history: post full term c-section delivery 9 months ago, metrorrhagia <6 weeks, severe localised pain in left chamber lower abdomen and back pain. No paliable mass, except distention when tensing back in the shower (washing hair etc) Sonography report shows a Heterogenous echotextured uterus with heterogeneous endometrium containing echogenic materials possible calcific components, intrauterine adhesions. Could I have cancer or can it 100% be ruled out? Or is there any chance if hysterectomy?
doctor
Answered by Dr. Vjollce Mbiarra (38 minutes later)
Brief Answer:
There are no chances for cancer

Detailed Answer:
Hi dear and thanks for your query.
'Heterogenous uterus' is a description used to describe the appearance of the uterus after an ultrasound exam is done. All that this means is that the ultrasound appearance of the uterus is not totally uniform. The two most common causes of heterogenous uterus are uterine fibroids, which are benign muscular growths in the uterine wall, and adenomyosis, which is a proliferation of the normal uterine glands into the muscular wall of the uterus. These conditions are very common, affecting up to maybe 50% of women by middle age. They generally cause no symptoms but they can cause abdominal pain and heavy bleeding and cramping with menstruation.

While heterogenous endometrium with echogenic materials and intrauterine adhesions have many reasons but please how is thickness of endometrium ?!
Please upload picture of ultrasound scan.
From these data i can't say that you have cancer.
At your age there is no possibility.
Diagnosis of cancer can be done only by biopsy of endometrium .

Hystrectomia is It is the latest action of doctor ,hence don't worry so much.

All the best
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Vjollce Mbiarra (15 hours later)
The endometrium image is attached and the thickness is 6mm i believe.
doctor
Answered by Dr. Vjollce Mbiarra (5 hours later)
Brief Answer:
Details are given below ....

Detailed Answer:
Hi dear again!

As per your ultrasound report endometrium thickness doesn't show that you are predisposed to have endometrial cancer .
Hence don't worry .

In my opinion ,based on your symptoms(metrorragia and abdominal pain ) and ultrasound scan ,it seems to be an endometrial polyp with/or adenomiosis('Heterogenous uterus).

Hysteroscopy with guided biopsy is the most common comparator for other techniques to diagnose polyps as it offers the highest sensitivity and specificity for conservative measures.
Hysteroscopic polypectomy is effective and safe as both a diagnostic and therapeutic intervention.

Hence if you were my patient ,I would recommend you to have a Hysteroscopic examination as it serves as diagnostic and therapeutic method.

All the best and fast recovery
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Sonia Raina
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Answered by
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Dr. Vjollce Mbiarra

OBGYN, Maternal and Fetal Medicine

Practicing since :2006

Answered : 1572 Questions

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What Does My Sonography Test Report Indicate?

Brief Answer: There are no chances for cancer Detailed Answer: Hi dear and thanks for your query. 'Heterogenous uterus' is a description used to describe the appearance of the uterus after an ultrasound exam is done. All that this means is that the ultrasound appearance of the uterus is not totally uniform. The two most common causes of heterogenous uterus are uterine fibroids, which are benign muscular growths in the uterine wall, and adenomyosis, which is a proliferation of the normal uterine glands into the muscular wall of the uterus. These conditions are very common, affecting up to maybe 50% of women by middle age. They generally cause no symptoms but they can cause abdominal pain and heavy bleeding and cramping with menstruation. While heterogenous endometrium with echogenic materials and intrauterine adhesions have many reasons but please how is thickness of endometrium ?! Please upload picture of ultrasound scan. From these data i can't say that you have cancer. At your age there is no possibility. Diagnosis of cancer can be done only by biopsy of endometrium . Hystrectomia is It is the latest action of doctor ,hence don't worry so much. All the best