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What Does My Ultrasound Scan Test Report Indicate?
Question: My mother age is 49. A recent ultrasound said that uterus is 122mmX53mmX41mm . myometrial echotexture is mildly heterogeneous and hypoechoic.Indistinct myometrial interface. Small well defined hypoechoic lesion of size 29mmX21mm is noted in posterior myometrial wall. Endometrium is central and normal in thickness 10.5mm . Doctor want to perform surgery. What we should do?
( No blleding is seen only mild lower abdomen pain )
I have attached a six months previous report also with the recent report.Doctor prescribed a medicine which she took two days in a week for the past six months. the tablet name was sevista.
Previous Report Details :- Uterus size 100.7 mmX45.3mmX36.6mm . Myometrial echostructure is homogenous.A hypoechoic sol of 38.1mmX30.6mm seen at the posterior wall of uterine body.Endometrial echo is normal in thickness with 8.1 mm and seen in midline. ( Six months previous ultrasound report ) .
( No blleding is seen only mild lower abdomen pain )
I have attached a six months previous report also with the recent report.Doctor prescribed a medicine which she took two days in a week for the past six months. the tablet name was sevista.
Previous Report Details :- Uterus size 100.7 mmX45.3mmX36.6mm . Myometrial echostructure is homogenous.A hypoechoic sol of 38.1mmX30.6mm seen at the posterior wall of uterine body.Endometrial echo is normal in thickness with 8.1 mm and seen in midline. ( Six months previous ultrasound report ) .
Brief Answer:
No reason for surgery right now.
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us with your health concern.
I have gone through both the reports .
The lesion that is mentioned in both reports is called a fibroid.
It is a mostly non cancerous growth of the uterine muscles.
It is very common in women, more than 30 % of pre menopausal women have it.
There is no treatment required unless the fibroid is very big, or there is heavy bleeding , uncontrolled pain etc.
Is she having any symptoms such as these ?
Also, after taking Sevista, the size of the fibroid has decreased.
I can see no reason at all for surgery right now.
Just keep taking the medication and get a repeat scan after 3 months.
If she is having bad symptoms, then surgery such as myomectomy ( removal of the fibroid ) can be done .
So please tell me if there are any symptoms right now.
After menopause, most of the fibroids shrink in size, so there is definitely no indication for surgery at present.
Hope this information helps you.
Please feel free to discuss further.
No reason for surgery right now.
Detailed Answer:
Hello XXXXXXX
Thanks for writing to us with your health concern.
I have gone through both the reports .
The lesion that is mentioned in both reports is called a fibroid.
It is a mostly non cancerous growth of the uterine muscles.
It is very common in women, more than 30 % of pre menopausal women have it.
There is no treatment required unless the fibroid is very big, or there is heavy bleeding , uncontrolled pain etc.
Is she having any symptoms such as these ?
Also, after taking Sevista, the size of the fibroid has decreased.
I can see no reason at all for surgery right now.
Just keep taking the medication and get a repeat scan after 3 months.
If she is having bad symptoms, then surgery such as myomectomy ( removal of the fibroid ) can be done .
So please tell me if there are any symptoms right now.
After menopause, most of the fibroids shrink in size, so there is definitely no indication for surgery at present.
Hope this information helps you.
Please feel free to discuss further.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I have one question, endometrial thickness increased from 8.1 mm to 10.5 mm in this six months . Is there any problem with this? and
in this report myometrial echotexture is mildly heterogeneous and hypoechoic.Indistinct myometrial interface . but in the previous report it was homogenous . There is any problem ?
in this report myometrial echotexture is mildly heterogeneous and hypoechoic.Indistinct myometrial interface . but in the previous report it was homogenous . There is any problem ?
Brief Answer:
Are there any symptoms ?
Detailed Answer:
No, that is not a problem at all.
No problem with the texture of the myometrium also.
The main issue is her symptoms.
Is she having symptoms ?
Are there any symptoms ?
Detailed Answer:
No, that is not a problem at all.
No problem with the texture of the myometrium also.
The main issue is her symptoms.
Is she having symptoms ?
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
no bleeding at all.. no incontrolled pain.. only mild lower abdomen pain. she is a health worker and doing her work normally.
Brief Answer:
There is no need for surgery.
Detailed Answer:
Then as I said, there is no need for any surgery.
She can continue taking Sevista for another 3 months, and then have a repeat scan.
Please feel free to contact me directly anytime, using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Take care.
There is no need for surgery.
Detailed Answer:
Then as I said, there is no need for any surgery.
She can continue taking Sevista for another 3 months, and then have a repeat scan.
Please feel free to contact me directly anytime, using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Take care.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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