Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Does This USG Of Uterus Indicate?
Question: Hi my mother is 66 years old, weight 73. Last 10 days she had bleeding which is stopped now, we visited gyna doctor and USG done on GE voluson and t.v.s report is
Uterus is anteverted, bulky in size 76*47*50mm
Show normal myometrial echotexture
Endomerium is central and thickened upto 27 mm and hetrerogeneously hyperechoic in echogenicity. Outline is not clear. Vasculairty is increased with in it.
Bilateral ovaries could not be seen-atrophic
No adenexal mass is seen, no free fluid in POD.
Imp endometrial hyperplasia.
we need to see doctor tomorrow with this tvs report. What's ur view on this report...what will be next step...do we see some risk of uterus removal...is this cancer....is biopsy required now....or nothing like that then what's the diagnose based upon this report
Uterus is anteverted, bulky in size 76*47*50mm
Show normal myometrial echotexture
Endomerium is central and thickened upto 27 mm and hetrerogeneously hyperechoic in echogenicity. Outline is not clear. Vasculairty is increased with in it.
Bilateral ovaries could not be seen-atrophic
No adenexal mass is seen, no free fluid in POD.
Imp endometrial hyperplasia.
we need to see doctor tomorrow with this tvs report. What's ur view on this report...what will be next step...do we see some risk of uterus removal...is this cancer....is biopsy required now....or nothing like that then what's the diagnose based upon this report
Brief Answer:
Your mother needs D, D & C
Detailed Answer:
Hello,
Thanks for your query.
The reports suggest that there is problem with your mother's uterus. The uterine endometrium is thickened upto 27 mm. An endometrial thickness >5mm in post-menopausal woman should be investigated. We have to do diagnostic endometrial curettage. The pathological examination of the curetted endometrial material will answer this whether it is endometrial hyperplasia or cancer.
Good luck
Your mother needs D, D & C
Detailed Answer:
Hello,
Thanks for your query.
The reports suggest that there is problem with your mother's uterus. The uterine endometrium is thickened upto 27 mm. An endometrial thickness >5mm in post-menopausal woman should be investigated. We have to do diagnostic endometrial curettage. The pathological examination of the curetted endometrial material will answer this whether it is endometrial hyperplasia or cancer.
Good luck
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
hello sir, we visited doctor and she advised few more tests. Kindly see attached reports one report is of blood, urine test etc. (file name rajkumari) Other reprot is of chest xray 9file name( xray) Dr. also advsied MRI which has been done but result awaited. kindly look at reprot and see whats your take...any recommednation on any other test..are we see any major problem..
doctor here has suggested that post MRI test will do biopsy.. not sure are we going in right direction.whats yourview, is there really a serious problem.. though to me latest reprot does not indicate any..
my mother now a days does not have any bleeding probelm. it stopped 4 days ago afer 12 days bleeding. thx
doctor here has suggested that post MRI test will do biopsy.. not sure are we going in right direction.whats yourview, is there really a serious problem.. though to me latest reprot does not indicate any..
my mother now a days does not have any bleeding probelm. it stopped 4 days ago afer 12 days bleeding. thx
Brief Answer:
Your mother is fit for surgery
Detailed Answer:
Hello,
Your doctor has advised correctly.These tests suggest your mother is fit to undergo surgery.The MRI will suggest whether the disease [if cancer] is confined to endometrium or it has spread to myometrium.
Although your mother is not bleeding at present it is very essential that she should undergo the tests as advised by your doctor,other wise again bleeding will start with disease spreading further.
Good luck
Your mother is fit for surgery
Detailed Answer:
Hello,
Your doctor has advised correctly.These tests suggest your mother is fit to undergo surgery.The MRI will suggest whether the disease [if cancer] is confined to endometrium or it has spread to myometrium.
Although your mother is not bleeding at present it is very essential that she should undergo the tests as advised by your doctor,other wise again bleeding will start with disease spreading further.
Good luck
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Dear sir, thanks much.
we got MRI report (attached for ur review, file name MRI). report says "Uterious is anteverted and normal in size. The endometrium is markedly thickness. It shows hetrogenous iso to hyperintense singnal on T2W images with few irregular hypointensities in the lower segement on the right side. The mynometrium appears splayed aroud the distrended endometrial cavity; howver no obvious focal lesion is seen in teh myometrium,. No adnexal mass seen."
now doctor has recommended hysteroscope and endoment curretta.( prescriptiopn attached)
i dont knwo what is this new examination, kindly provide ur inputs. what doctor here want to achive with this test? is this test to see whether uterus is cancered, if it is not fond cancred after test then what are the reaosn for bleeding and what will be tratement if it is cancer then will whole uterious be removed or some part.
thaks for ur repsonses, appreciated sir. i iwll give mey feedback when i will close it
we got MRI report (attached for ur review, file name MRI). report says "Uterious is anteverted and normal in size. The endometrium is markedly thickness. It shows hetrogenous iso to hyperintense singnal on T2W images with few irregular hypointensities in the lower segement on the right side. The mynometrium appears splayed aroud the distrended endometrial cavity; howver no obvious focal lesion is seen in teh myometrium,. No adnexal mass seen."
now doctor has recommended hysteroscope and endoment curretta.( prescriptiopn attached)
i dont knwo what is this new examination, kindly provide ur inputs. what doctor here want to achive with this test? is this test to see whether uterus is cancered, if it is not fond cancred after test then what are the reaosn for bleeding and what will be tratement if it is cancer then will whole uterious be removed or some part.
thaks for ur repsonses, appreciated sir. i iwll give mey feedback when i will close it
Brief Answer:
Hysteroscopic D,D & C is better test
Detailed Answer:
Hello,
Yes the MRI is suggesting there is disease as suspected. Hysteroscopic endometrial curettage is doing D,D & C under direct vision by endoscopy [hysteroscopy].
This test is better as biopsy will be taken under direct vision.
Yes whether it is cancer or any other pathology biopsy will tell.
The treatment depends on the pathology report.
Good luck
Hysteroscopic D,D & C is better test
Detailed Answer:
Hello,
Yes the MRI is suggesting there is disease as suspected. Hysteroscopic endometrial curettage is doing D,D & C under direct vision by endoscopy [hysteroscopy].
This test is better as biopsy will be taken under direct vision.
Yes whether it is cancer or any other pathology biopsy will tell.
The treatment depends on the pathology report.
Good luck
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. Vinay Bhardwaj
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
