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Had A Vaginal Sonogram And Multiple Cystic Lesions. Lining Looks Complex, Overweight And Diabetic. Further Treatment?

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Posted on Fri, 25 Oct 2013
Question: Had a vaginal sonogram. Showed multiple cystic lesions. Lining looks complex. No vascularity. 62 yr old...over weight diabetic. Doctor wants to do d & c and hystercopy.
doctor
Answered by Dr. Ganesh Sanap (1 hour later)
Brief Answer:
needs detail report

Detailed Answer:
Hi, welcome and thanks for writing in.
I have gone through your query. I need your sonogram report in detail for further comments.
1. Are Cystic lesions in uterus or ovaries?
2. What are your symptoms like pain or increased bleeding?
3. Are ovaries are normal or not?

Possibly report has mentioned all the findings.

Looking forward for your response.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ganesh Sanap (7 minutes later)
Lesions in uterus. No symptoms whatsoever. No mention of any ovarian abnormalities. When i had the sonogram before i left the office the PA said everything was normal, but when the doctor looked at the sonogram the PA called back that evening with exactly what i typed to you. PA said since there was no vascularity it probably wasnt a problem...but I'm worried.
doctor
Answered by Dr. Ganesh Sanap (2 hours later)
Brief Answer:
less likely serious endometrial pathology.

Detailed Answer:
Hi, welcome back and thanks for your response.
Cystic lesions in uterus can be a thickened endometrium with cystic changes or a multiple small fibroids having cystic changes.
There are two factors age and symptoms. Considering your age it is better to do further investigation like D and C for confirmation of any endometrial pathology. However there is no symptoms at all I will suggest it will be helpful if you consult your gynecologist or your family physician for second opinion.
In any case there is very less chance of any serious disease of uterus. So don't get panic and just do follow up.

How for the best. Any further doubts are welcome.

Regards.
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
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Dr. Ganesh Sanap

Radiologist

Practicing since :2007

Answered : 561 Questions

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Had A Vaginal Sonogram And Multiple Cystic Lesions. Lining Looks Complex, Overweight And Diabetic. Further Treatment?

Brief Answer:
needs detail report

Detailed Answer:
Hi, welcome and thanks for writing in.
I have gone through your query. I need your sonogram report in detail for further comments.
1. Are Cystic lesions in uterus or ovaries?
2. What are your symptoms like pain or increased bleeding?
3. Are ovaries are normal or not?

Possibly report has mentioned all the findings.

Looking forward for your response.

Regards.