Doctor insights on:
Uterine Polyp Surgery
U/S rpt:"Enlarged uterus lobulated contour&multiple uterine fibroids. LargestFibroids@uterine fundus' posterior wall&left fundal wall 3.1cm.Endometrial thickness normal,ovaries obscured byOverlying bowel gas" Any tests/scan/type of surgery recommend?
Fibroids: Are relatively common, and if you are not having any symptoms related to them, probably nothing needs to be done. It sounds like you had a transabdominal ultrasound and your ovaries could not be seen due to bowel gas. This happens occasionally. If your doctor wants to check your ovaries, you need to have a transvaginal ultrasound. If the ovaries are still difficult to see, MRI might be useful. ...Read moreSee 1 more doctor answer
It shouldn't be: Any surgery can be serious. But if surgery for fibroids is indeed necessary (it isn't always), there are several surgical approaches. Laparoscopy and laparotomy are two of them. In certain situations, the fibroid uterus may be removed vaginally. Tho there are risks with any type of surgery, the risks are minimized in experienced hands with good pre-operative preparation. Pls ck with your surgeon. ...Read moreSee 1 more doctor answer
U/S shows 7cm hypoechoic mass/endometrioma on ovary, prominent uterus, irregular endocavity, polyps .. history of endometriosis. is hysterectomy next?
No, not really: Adenomyosis is when the lining cells of the uterus are located just deep to the lining (but still within the uterus). It can be thought of as endometriosis of the uterus. Hysterectomy would remove this. Almost all fibroids are in the uterus also and would be removed with hysterectomy, although there are fibroids on rare occasions outside the uterus which could be missed/reoccur but very rare. ...Read moreSee 3 more doctor answers
Not necessarily.: Many, many women have fibroids as they get older. Most don't even know they have them. If you are having symptoms due to them, like heavy periods, etc., then they may be worth treating. Discuss your options with your doctor. Very very rarely, a fibroid can become cancerous. See http://womenshealth.gov/publications/our-publications/fact-sheet/uterine-fibroids.html#g ...Read moreSee 1 more doctor answer
Heavy uterine bleeding 3 weeks pelvic/transvaginal us hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis ?
Bleeding: Since its a focal area its more likely to be adenomyosis, which typically gets progressively worse as you age. However, you're also at the age when ovarian dysfunction often causes irregular, heavy and/or prolonged bleeding. You might be a good candidate for an endometrial ablation assuming you are done with having babies. ...Read more
42yr old female diagnosed w/ 1 ant. Submucosal uterine fibroid protruding into lower uterine cavity & multiple post. Uterine polyps. What trtmt optns?
Possibly: Fibroids are benign growths of uterine muscle and are not cancerous. Rarely, a fast growing fibroid may in fact be a sarcoma or a cancer. A uterine polyp (like a skin tag in the uterus) can be totally benign or may house hyperlastic cells. Endometrial hyperplasia with atypical cells is considered precancerous and should be treated. Bleeding after menopause should always be evaluated. ...Read moreSee 1 more doctor answer
No: I would highly recommend removing them laparoscopically (minimally invasive approach). Although this method is more difficult to perform, for the patients, there will be great benefit (cosmetically small pleasing scars, 2 week recovery, less pain, quicker return to work). Please do your homework and find a skilled laparoscopic surgeon. The differences are night and day! ...Read more
Usually not: "cystic degeneration" usually means that a portion of the tumor has died as a result of its blood supply not always being adequate. If the tumor is troubling you, or if it is growing rapidly, or the radiologist has other concerns, you should consider having it removed or you may be given other options such as embolization. If there are other warnings of cancer, you must have it removed. Good luck. ...Read more
Uterine wall- non secretory surface endometrium over myometrium. Uterine nodule - leiomyoma of uterus without cellular atypia. Uterine cervix- chro?
Depends... D&C?: well, it depends on how much it is causing.. most of the time over 40 I recommend a uterine biopsy (called a EMB done in office) that is not 100% but pretty good to be sure not really a cancer. then if ok can try medical things to shed it or may need a D and C ( if u dont want more kids, ask possible ablation at same time0... hope this helps ...Read moreSee 1 more doctor answer
Just had colonoscopy. Sigmoid colon: a diminutive adenomatous looking polyp and a hyper plastic polyp. transverse colon: adenomatous polyp. Bad? Thnx
Yes: Naked eye can not distinguish cystadenoma with focus of cancer, ( has high incidence of cancer ) only after total removal and analysis by the pathologist , will establish diagnosis, & stage , a potential curable disease has to be treated with radical surgery with aim of cure. ...Read moreSee 1 more doctor answer
Extensive residual endo, endometrioma involves rectosigmoid junction back of uterus & cervix dense tissue infiltration deep pelvic endo wot this mean?
Severe disease: You are describing severe endometriosis that is difficult to treat and that they were unable to completely remove. Some sort of medical treatment is probably your next step. It will be best if you can find a specialist with experience with these difficult cases since the usual gynecologist encounters these rarely. ...Read more
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