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What does this ultrasound report indicate?

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Posted on Mon, 14 Dec 2015
Question: Hi
I am 46 female. I had yesterday ultrasound on abdomen and pelvis as a routine followup of uterous fibroids but this time for continuous period for 16 days with light and same rythm of bleeding every day..the examination shows: anteverted anteflexed uterous with 4 fibroids, largest is 8x7.3cm at the left posterior wall of the fundal region with subserous and sub mucous extensions. The other prominent fibroid is seen at the left body region, subserous measuring 4.8x2.4cm. Endometrium is 16mm, regular homogeneous with well defined outline. No abnormal contents are seen.
It also shows right simple ovarian cyst 5.3x3.3cm and left simple ovarian cyst 4.7x3.3
In the right lobe of liver is hemangioma 12x9mm
Could you please be kindly explaining to me what all this mean and what is your advice
doctor
Answered by Dr. Aarti Abraham (20 minutes later)
Brief Answer:
Explained the report, but need more details please.

Detailed Answer:
Hello
Thanks for trusting us with your health concern.
Let me explain the scan report to you.
This means that the uterus has 4 fibroids ( tumours ) at present.
The biggest one in in the posterior ( towards the back ) wall on the left side near the top of the uterus.
THe lining of the uterus is quite thick.
There are simple cysts on both ovaries.
The hemangioma is an incidental finding, nothing to worry about.
Regarding my advice, I need a few more details.
You mentioned that this was a routine follow up scan.
So you are aware of the fibroids.
Since how long have you had them ?
What size fibroids were seen on the last scan ?
Are you hypertensive / diabetic / obese ?
Have you had any medication / treatment for the fibroids ?
Have you bled heavily like this time earlier ?
Are you still bleeding ?
Can you upload the scan report please, that will give me more information .
Looking forward to hearing from you.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (50 minutes later)
Thanks for answer
I ame aware of fibroid since late 2007.. i had complain of chronic constipation about 1 and half year before and lately something hard in my lower abdomen..the ultrasound reveald 19 cm fibroid immediately prescribed for excetion surgery in nov 2007. Followup ultrasound showed 3 fibroids increasing in size a little until reaching the size i told u in yesterday report. Ovary cests was first shown in previous 3 reports done almost yearly but the thick endometrium is revealed now in yesterday report for the first time . The previous report was in december 2014 was normal endometrium
This is the first time to bleed 17 days continuously... usually periods are 5-7 days with 18 days rest in between only in last year was irregular with few heavy periods of 9 days and some light ones with break of 2 months couple of times
I am not diabetic hypertensive or obese
I dont know how to upload the report..i already coppied the text to you before so no more info..in the report of dec 2014 the size of the right varian cyst was4.4 and fibroids was 7.6 and 3.6 cm
Please i need to know if all these indicative of something bad or can be treated or better to remove the uterus.. i am worried
doctor
Answered by Dr. Aarti Abraham (1 hour later)
Brief Answer:
Surgery is definitely needed.

Detailed Answer:
Hi.
I think you need some form of surgery.
An experienced surgery can remove only the fibroids ( myomectomy ) and biopsy of the thickened endometrium should then be taken.
IF the biopsy is normal, and you can find a surgeon who can remove the fibroids , then there is no need for removal of uterus ( hysterectomy ).
Otherwise, hysterectomy, with removal of both cysts is also a good idea.
Take care.
Definitely some surgical treatment is needed.
Medicines alone will not help in such big size fibroids.
You can contact me directly anytime, using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Aarti Abraham (2 days later)
hi dr. thanks for the advice. but won't be difficult to do surgery and if the endometrium is not normal doing another surgery? or better to remove all at once? and do i need to remove ovaries or cysts only? my Ca 125 reading is 44( normal range up to 35).. do i have hormonal unbalance after hesteroctomy? and complications to be ready for it.. i heared about gaining weight and i won't be happy with it thanks and sorry for many questions
doctor
Answered by Dr. Aarti Abraham (1 hour later)
Brief Answer:
As below

Detailed Answer:
Hello again.
Please do not apologize for asking questions.
You may ask as many as you wish to, and I will be glad to help you out.
Please do not hesitate ever.
Regarding the biopsy of endometrium, it is not a surgery - it is a simple 5 minute OPD procedure, it can be done when you visit your doctor, without anesthesia.
If it is normal, then only fibroid removal surgery can be planned.
Else, uterus removal can be done, if the report of endometrial biopsy shows any problem.
Yes, with big cysts on both ovaries, ovaries too should be removed if hysterectomy is planned.
At 46, ovaries are anyway going to reach stage of menopause soon, so you should not have any major hormonal imbalance.
Complications are same with every surgery, and in good hands, you should be safe.
Weight gain is associated with menopause, even if uterus is not removed.
Healthy eating habits and daily exercise will help you manage that.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Aarti Abraham

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What does this ultrasound report indicate?

Brief Answer: Explained the report, but need more details please. Detailed Answer: Hello Thanks for trusting us with your health concern. Let me explain the scan report to you. This means that the uterus has 4 fibroids ( tumours ) at present. The biggest one in in the posterior ( towards the back ) wall on the left side near the top of the uterus. THe lining of the uterus is quite thick. There are simple cysts on both ovaries. The hemangioma is an incidental finding, nothing to worry about. Regarding my advice, I need a few more details. You mentioned that this was a routine follow up scan. So you are aware of the fibroids. Since how long have you had them ? What size fibroids were seen on the last scan ? Are you hypertensive / diabetic / obese ? Have you had any medication / treatment for the fibroids ? Have you bled heavily like this time earlier ? Are you still bleeding ? Can you upload the scan report please, that will give me more information . Looking forward to hearing from you. Take care.