Question: My daughter has a "spot" or that is approx 6 cms in size on the side of her uterus. It was discovered when she had an ultra sound following the delivery of her twins that died at 19 weeks because the placenta pulled away from the uterine wall. Her ob-gyn has indicated the "spot" is very vascular and it was seen again this past week, 7 weeks following the date she delivered the twins. The size of this spot has not changed. An MRI has been requested to supposedly better determine what this "spot" may be. Could this be a fibroid - can they be vascular? They her doctor thought it may be a piece of placenta, but they think she would have passed that by now. The doctor is concerned about performing a D&C (?) because this spot is so vascular, and the chance of something going wrong - which could then result in a hysterectomy having to be performed. This is all very scary, especially for my daughter who has no children yet. I'm seeking any ideas or input you may have as to what this "spot" may be and /or how to find out what it may be, cancer or other. Thank you.

The OB-GYN seemed to rule out the "spot" being a retained part of the placenta. Could a left-over piece of placenta possibly be vascular??

You suggest a serum beta HCG should be performed serially to rule out whether or not the spot is a cancer arising from the placental tissue. I know what HCG is but I do not understand what you mean by serially.

Thank you.