question-icon

Suggest treatment for endometrial polyp inside the endometrial cavity

default
Posted on Mon, 11 May 2015
Question: Hi, I'm concerned re: Radiology report I received. The result from my Ultrasound read as follows: fluid within endometrial cavity. Impression of 14mm endometrial polyp. 4.6*4.3cm cyst within left ovary which has some internal echoes within it & therefore is not entirely simple in nature. There is minimal amount of free fluid in the pouch of XXXXXXX

I've been experiencing dull lower back ache & I've never had issues with my back. If I'm honest, the wording..."not entirely simple in nature" has put fear in me.
doctor
Answered by Dr. Sameer Kumar (23 minutes later)
Brief Answer:
possible complex cyst...explained

Detailed Answer:
Hello,
Thanks for the query to HCM,
ThE report clearly indicates an endometrial polyp inside the endometrial cavity which probably causes irregular spotting and bleeding during inter menstrual period and best would be to get it removed hysterosopically.
Secondly an ovarian cyst of size more than 4 cm with internal septations and echoes can be a complex cyst which is indicative of an ovarian carcinoma in most cases. This morphology however needs to be further confirmed by a CT SCAN where septations can be better viewed and also tumour markers would be required like CA 125, CEA, AFP and BETA HCG for correlating the same.
The cyst is large and even if its not complex still it would require removal by laparoscopy.
There is a possibility that it can be an endometriotic cyst which gives a similar appearance on ultrasound and hence a CT SCAN should be undertaken along with tumour markers.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1709 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for endometrial polyp inside the endometrial cavity

Brief Answer: possible complex cyst...explained Detailed Answer: Hello, Thanks for the query to HCM, ThE report clearly indicates an endometrial polyp inside the endometrial cavity which probably causes irregular spotting and bleeding during inter menstrual period and best would be to get it removed hysterosopically. Secondly an ovarian cyst of size more than 4 cm with internal septations and echoes can be a complex cyst which is indicative of an ovarian carcinoma in most cases. This morphology however needs to be further confirmed by a CT SCAN where septations can be better viewed and also tumour markers would be required like CA 125, CEA, AFP and BETA HCG for correlating the same. The cyst is large and even if its not complex still it would require removal by laparoscopy. There is a possibility that it can be an endometriotic cyst which gives a similar appearance on ultrasound and hence a CT SCAN should be undertaken along with tumour markers. Regards