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A 45-year-old female asked:
is it possible that a vaginal ultrasound will misdiagnose a endometrial polyp? is it possible this is scar tissue from a fiberoil i had removed?
3 doctor answers • 5 doctors weighed in

Dr. Otto Placik answered
Plastic Surgery 34 years experience
Yes possible: Yes it is posssible. An ultrasound is simply a shadow like image and it does not necessarily tell you the composition of the structure. Hysteroscopy with possible biopsy may be useful in differentiating between the two.
5346 viewsReviewed >2 years ago

Dr. Patrick Sweet III answered
Pathology 20 years experience
Polyp: Appearance of lesions on imaging is often suitable as a screening test, but as noted by the other physician's answer it could very well be something else. A biopsy will tell with certainty, as a polyp, leiomyoma, scar and hyperplasia, etc, all have very characteristic features on pathology.
5346 viewsReviewed >2 years ago

Dr. Robert Gould answered
Radiology 44 years experience
Ultrasound is key: A scar in the endometrial lining of the uterus, where the sperm and egg implants, can occur after a procedure and could look similar to a polyp. A polyp will be bright on and the scar will be less bright . A special test where fluid is inserted into the canal called a saline hystero-salpingogram can help distingusih the 2. It can be done by a radiologist or ob-gyn. I would discuss with md.
5346 viewsReviewed >2 years ago
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Last updated Feb 26, 2017
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