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Endovaginal Ultrasound Showed Mildly Hyperchoic And Mildy Vascular Endometrial Mass. What Does This Mean?

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Posted on Tue, 27 Aug 2013
Question: Findings : Transadbdominal ultra sound:
The uterus measures 6.8 x 4.4 x 5.1 cm (6.9 x 2.6 x 5cm on prior) and is anterverted in position. the endometrial stripe and adnexase are not well visualized. the bladder is normal and contour and wall thickness with a prevoid volume of 158 cc and post 0. Endovaginal ultrasound was performed for further evaluation.

Endovaginal ultrasound:
the uterus measures 6.8 x 4.3 x 4.7 cm endovaginally with a few subcentimeter cervical nabothian cysts. the endometrial stripe cannot be clearly identified. there is a 1.7 x 1 x 1.9 cm mildly hyperchoic and mildy vascular endometrial mass.
both ovaries are within normal limits in size with follicles and patent blood flow.
the right ovary measures 3.5 x 1.5 x 2.5 cm (3.2 x 4.2 x 2.2 cm on prior)
the left ovary measure 3.1 x 1.9 x 2.5 cm ( 2.7 x 1.5 x 3.4 cm on prior)
no free fluid is seen in the cul-de-sac.

Impressions:
a 1.7 x 1 x 1.9 cm endometrial mass/poly becoming apparent since 7/2006. the endometrial stripe measures 1.4 cm in AP dimensions prior.
Pelvic MRI may be helpful for confirmation as well as to delineate extent of the disease.
2. Resolution of a 1.9 x 1.1 x 1.5 cm hemorrhagic cyst or ruptured corpus luteum in the right ovary since prior.

What does delineate mean??? and should I be concerned that they are sending me for an MRI?? At the moment I have bloating and since my ultra sound I am having bleeding...... all the things I read about endometrial stripe said something about cancer. and why would they send me for an MRI if I had an ultra sound? please explain all the findings in terms I can better understand . I am deaf in RL. thank you - YYYY@YYYY
doctor
Answered by Dr. Shanthi E (55 minutes later)
Thanks for the clear description of the ultrasound findings. I have read the entire report thoroughly.

Delineate means - Distinguish

Through an MRI scan, we could possibly find out the exact extent of the endometrial mass/polyp concerning its borders, surface, the actual location, and the penetration into surrounding uterus area.

So, this delineates (or distinguishes) the diseased area from normal area on the endometrium or the uterus.

No, do not be concerned but go ahead with the MRI.

In my view, you do not have endometrial cancer but yes, it perhaps is Endometrial Hyperplasia. You need to be evaluated on this line.

MRI is more specific in terms of clarity and depth than ultrasound.

Yes, I did answer your query. Hope it helps you.

Sorry about the deafness but sometimes it is better not to hear people.

Let me know if I could help you further.

I am awake; just started my day.

Take Care!
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Shanthi E

General & Family Physician

Practicing since :2005

Answered : 2483 Questions

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Endovaginal Ultrasound Showed Mildly Hyperchoic And Mildy Vascular Endometrial Mass. What Does This Mean?

Thanks for the clear description of the ultrasound findings. I have read the entire report thoroughly.

Delineate means - Distinguish

Through an MRI scan, we could possibly find out the exact extent of the endometrial mass/polyp concerning its borders, surface, the actual location, and the penetration into surrounding uterus area.

So, this delineates (or distinguishes) the diseased area from normal area on the endometrium or the uterus.

No, do not be concerned but go ahead with the MRI.

In my view, you do not have endometrial cancer but yes, it perhaps is Endometrial Hyperplasia. You need to be evaluated on this line.

MRI is more specific in terms of clarity and depth than ultrasound.

Yes, I did answer your query. Hope it helps you.

Sorry about the deafness but sometimes it is better not to hear people.

Let me know if I could help you further.

I am awake; just started my day.

Take Care!