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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ultrasound Shows Thick Endometrium. Diagnosis And Treatment?

Hey..dr i wanted 2 know about my grandma ultrasound report as the report said that she have endometrium measurinh 0.7 cms is slightly thickened as compare to post menopausal..secondly they said A thickened echogenic area measuring 1.0*0.8 cms is noted in cervical region .could be a cervical? Polyp or growth? N last they also mentioned classifications seen in myometrium.A seedling fibroid measurinh 1.7 * 1.8 cms is noted so plz kindly give me the full detail about the report as what they diagnose n their treatment
Thu, 6 Jun 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

The interpretation of the ultrasound report is as follows:
1. The uterine lining known as endometrium is thickened. Normally, after menopause the endometrium becomes atrophic. a thickned endometrium beyond its normal limit can occur due to endometrial hyperplasia, endometrial carcinoma to name a few lesions.
A endometrial curetting or an endometrial biopsy is required to know the cause of thickened endometrium.
2. An echogenic lesion in the cervix suggests towards the presence of a polyp or fibroid. Both these lesions are benign. Asymptomatic lesions are of no consequence so they can be left as such.
3. A calcification in the myometrium can be due to calcified blood vessels in the myometrium. These are normal age related lesions.
4. Presence of a small fibroid in the myometrium is again not of much significance.
However, fibroids usually occur in women in their reproductive period. They usually regress following menopause.

Consult your gynecologist for clinical examination and an endometrial curettings/ biopsy.
A hyperplastic endometrium or malignant endometrium may be the underlying disease process.

Thanks and take care
Dr Shailja P Wahal
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Ultrasound Shows Thick Endometrium. Diagnosis And Treatment?

Hello and welcome to HCM, The interpretation of the ultrasound report is as follows: 1. The uterine lining known as endometrium is thickened. Normally, after menopause the endometrium becomes atrophic. a thickned endometrium beyond its normal limit can occur due to endometrial hyperplasia, endometrial carcinoma to name a few lesions. A endometrial curetting or an endometrial biopsy is required to know the cause of thickened endometrium. 2. An echogenic lesion in the cervix suggests towards the presence of a polyp or fibroid. Both these lesions are benign. Asymptomatic lesions are of no consequence so they can be left as such. 3. A calcification in the myometrium can be due to calcified blood vessels in the myometrium. These are normal age related lesions. 4. Presence of a small fibroid in the myometrium is again not of much significance. However, fibroids usually occur in women in their reproductive period. They usually regress following menopause. Consult your gynecologist for clinical examination and an endometrial curettings/ biopsy. A hyperplastic endometrium or malignant endometrium may be the underlying disease process. Thanks and take care Dr Shailja P Wahal