Question 1

do cancer and adenomyosis look the same on imaging? or do they have a lot of different features?

Accepted Answer

: Imaging is not usually used to differentiate between cancer and adenomyosis. There are features that may be more consistent with each one of them on imaging however most people would not base diagnosis only on imaging when biopsy could be done. Adenomyosis is more common than cancer and more likely at a younger age than cancer is.

Question 2

can adenomyosis turn into cancer?

Accepted Answer

Rarely: Adenomyosis is mis-placed endometrial lining glands into the wall of the uterus (into the muscle). It is uncommon for these misplaced glands to become malignant, but it does happen. More often, it is the surface glands that undergone malignant transformation, and then grow down and into the areas of adenomyosis. At your age, this would be exceptionally rare.

Question 3

on my mri it said probable adenomyosis,  since it says "probable" i am concerned- is there a chance these spots on the muscular wall are cancer?

Accepted Answer

Not likely: Adenomyosis is normal endometrium displaced into the muscle wall of the uterus.  Can cause pelvic/uterine pain, sometimes requires hysterectomy to control pain.

Question 4

i recently had a tvu, wihich showed a thickened uterine lining. the doctor suggested it may be adenomyosis.
could it be uterine/ovarine cancer?

Accepted Answer

Yes but unlikely: I suppose it is possible to have uterine cancer when the lining is thick. There are simple in office and in the operating room ways to get a sample of the tissue and make sure. But more likely the doctor thought the uterine muscle tissue was thickened which is a different part of the uterus which is usually adenoymosis.

Question 5

i have adenomyosis with heavy bleeding w/clots that soak through my clothes.pap smear had endometrial cells.could this be a sign of cancer?

Accepted Answer

Not cancer: Endometrial cells on pap is not a sign of cancer. Adenomyosis can explain heavy bleeding and cramping, but doesn't rule out cancer. Make certain your concerns and communication with your doctor is very good.

Question 6

ultrasound in 2018 stated mild adenomyosis. im worried now that it could be mistaken for endometrial cancer as it also causes a thickened lining of the uterus. would i have had more symptoms by now if it was (god forbid) cancer? should i get biopsy?

Accepted Answer

: An ultrasound diagnosis of "adenomyosis" will explain periods with more pain and bleeding, as the infiltrating endometrial cells prevent the extensive uterine contractions which lead to excessive bleeding.  Thickened endometrial lining , if over 1 cm in width should be biopsied, but at age "31" is unlikely to be overt malignancy.  Oral bcp can reduce cramping and bleeding.

Question 7

should i take progesterone therapy for adenomyosis if i have a strong family history of stroke, breast cancer, and migraines with aura?

Accepted Answer

Very specific case: We can not really provide very specific guidance in unique cases such as this. A discussion with your obgyn is warranted discussing the various options, the risks and the benefits.

Question 8

my 17yo daughter was diagnosed with endometriosis and adenomyosis. her doctor recommended a birth control pills. isnt this risky for her since she has an aunt who died in breast cancer? for my daughters case, if not pills, what could be options?

Accepted Answer

: The birth control in low dosage is the recommended treatment for her condition. The fact that her aunt had Breast Ca is not a reason to give her treatment. Good Luck

Question 9

can endometrial cancer look like adenomyosis on ultrasound?

Accepted Answer

Possibly: Endometrial cancer in the early stages can appear as a widened endometrial strip on ultrasound.  This can mimic adenomyosis.  If there is bleeding, this should be evaluated by a gynecologist and perhaps with a d&c.

Question 10

office d&c 12/17 path nrml u/s last week lining 5 mm all looked good have adenomyosis via u/s period light lasting 20 days how likely cancer ?

Accepted Answer

D&amp;C; adenomyosis: A "D&amp;C" does not remove all of the lining (endometrium) of the uterus, but the reasons for doing a D&amp;C include having a thickened lining of the uterus, and/or prolonged bleeding without ovulation, coming from the thickened uterine lining. It is therefore not uncommon for light bleeding to come from residual endometrium. If the pathology report is benign, the chance of current cancer is minimal.

Get Virtual Care

For Businesses

About Us

HealthTap Online Primary Care Doctors Accepting New Patients

Doctor answers about:

Is adenomyosis cancerous

A member asked:

Do cancer and adenomyosis look the same on imaging? or do they have a lot of different features?

A member asked:

Can adenomyosis turn into cancer?

A member asked:

On my mri it said probable adenomyosis, since it says "probable" i am concerned- is there a chance these spots on the muscular wall are cancer?

A member asked:

I recently had a tvu, wihich showed a thickened uterine lining. the doctor suggested it may be adenomyosis. could it be uterine/ovarine cancer?

A member asked:

I have adenomyosis with heavy bleeding w/clots that soak through my clothes.pap smear had endometrial cells.could this be a sign of cancer?

A member asked:

Ultrasound in 2018 stated mild adenomyosis. im worried now that it could be mistaken for endometrial cancer as it also causes a thickened lining of the uterus. would i have had more symptoms by now if it was (god forbid) cancer? should i get biopsy?

A member asked:

Should i take progesterone therapy for adenomyosis if i have a strong family history of stroke, breast cancer, and migraines with aura?

A member asked:

My 17yo daughter was diagnosed with endometriosis and adenomyosis. her doctor recommended a birth control pills. isnt this risky for her since she has an aunt who died in breast cancer? for my daughters case, if not pills, what could be options?

A member asked:

Can endometrial cancer look like adenomyosis on ultrasound?

A member asked:

Office d&c 12/17 path nrml u/s last week lining 5 mm all looked good have adenomyosis via u/s period light lasting 20 days how likely cancer ?

HealthTap Online Primary Care Doctors Accepting New Patients

Telemedicine

Primary Care

Manage Your Conditions

Women's Health

Children's Health

Men's Health

Senior Health

Wellness, Prevention & Lifestyle

Sexual Health

Mental & Behavioral Health

Travel Medicine

Urgent Care

Didn't find what you're looking for?

More of what we treat

Allergies

Antibiotics

Asthma

High Blood Pressure

Prescriptions

Type 2 Diabetes

For Businesses

Company

Health Content

Join Us

Download HealthTap

Questions?