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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Expanded Myometrium In My Ultrasound Scan Report Indicate?

USS shows a bulky uterus with AP Diameter of 10.4cm. The echo pattern is heterogenous. The Myometrium is expanded by solid tissue masses with mixed echo textures and AP diametwrs of 1.4cm intramural in the anterior-fundal wall,6.1cm intramural in the posterior-fundal wall and 4.6cm submucous within the body of the uterus. Adnexae bilaterally and Pouxh of Douglas are patially obliterated by the uterus bulk.No free pelvic collection. No cyst.No cyesis or retained products of conception sighted.
Tue, 17 May 2016
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General & Family Physician,  's  Response
Hi,
Thanks for posting in HCM.
I understand your concern.
From the ultrasound report you have furnished, it states that the bulky uterus is because of multiple masses present diffusely due to hypertrophied myometrium (muscle mass).
It would be advisable to investigate further by means of ultrasound guided biopsy and histopathological examination, which will tell what exactly the lesions are. Along with it, CT scan of pelvis may also be needed to narrow down the diagnosis.
Following this, appropriate treatment can be planned and executed.
It appears at this stage that treatment for such a condition could be most probably hysterectomy (removal of uterus).
Kindly consult Gynecologist in this regard for proper evaluation and management.
Hope the information provided would be helpful.
All the best.
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What Does Expanded Myometrium In My Ultrasound Scan Report Indicate?

Hi, Thanks for posting in HCM. I understand your concern. From the ultrasound report you have furnished, it states that the bulky uterus is because of multiple masses present diffusely due to hypertrophied myometrium (muscle mass). It would be advisable to investigate further by means of ultrasound guided biopsy and histopathological examination, which will tell what exactly the lesions are. Along with it, CT scan of pelvis may also be needed to narrow down the diagnosis. Following this, appropriate treatment can be planned and executed. It appears at this stage that treatment for such a condition could be most probably hysterectomy (removal of uterus). Kindly consult Gynecologist in this regard for proper evaluation and management. Hope the information provided would be helpful. All the best.