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Dr. Andrew Rynne

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Suffering From Bleeding. MRI Of Abdomen Showed Fibroids. Cervical, Endometrial Biopsy Done. What Does The Finding Mean?

Hi, I am a 47 year old woman suffering from Bleeding for sometime. On the Advice of my doctor I have udnergone MRI Scan of Abdomen and the impression showed Subserosal fibroids of 16*21 mm and the uterus measuring 7.8*4.5*5.6 cms and the endometrial thickness measures 10 mm. Have even undergone a Cervical and endometrial Biopsy which showed Multiple grey white to grey brown soft tissue bits altogether measuring 0.5 x 0.5 x 0.3 cm and Multiple grey brown soft tissue bits altogether measuring 0.5 x 0.4 x 0.3 cm. Microscopic Examination : Section shows multiple bits of cervical biopsy covered by stratified squamous epithelium. Stroma shows endocervical glands with squamous metaplasia. Stroma shows dense collections of neutrophils, lymphocytes and a few plasma cells. No atypia seen. Section from endometrium shows scanty curettings with a few tubular endometrial glands lined by columnar epithelium. Stroma shows plump cells. No atypia seen. Impression : CHRONIC CERVICITIS WITH SQUAMOUS METAPLASIA. ENDOMETRIUM – SECRETORY PHASE Can you please let me know what does that mean and the treatment for me to be taken
Thu, 14 Nov 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
The MRI report of the pelvis suggests presence of a normal sized uterus.
There is a fibroid in the wall of the uterus. This fobroid measures 1.6x2.1 cm.
Fibroid is a benign growth of the muscle layer of the uterus.

The cervical and endometrial biopsy is done (small tissue from the cervix and endometrium is taken and examined) under the microscope reveals:
1. The tissue from the cervix shows normal lining of the cervix. below the lining there is collection of inflammatory cells. Metaplasia of the cervical glands suggests
changes associated with inflammation.
The tissue pieces from the endometrium (uterine lining) show normal endometrial lining and glands in secretory phase.
In a normal menstrual cycle, there is proliferative phase- ovulation- secretory phase- menstruating phase.
During the secretory phase the endometrium is thickened as seen on the MRI.

thanks and take care
Dr Shailja P Wahal
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Suffering From Bleeding. MRI Of Abdomen Showed Fibroids. Cervical, Endometrial Biopsy Done. What Does The Finding Mean?

Hello and welcome to HCM, The MRI report of the pelvis suggests presence of a normal sized uterus. There is a fibroid in the wall of the uterus. This fobroid measures 1.6x2.1 cm. Fibroid is a benign growth of the muscle layer of the uterus. The cervical and endometrial biopsy is done (small tissue from the cervix and endometrium is taken and examined) under the microscope reveals: 1. The tissue from the cervix shows normal lining of the cervix. below the lining there is collection of inflammatory cells. Metaplasia of the cervical glands suggests changes associated with inflammation. The tissue pieces from the endometrium (uterine lining) show normal endometrial lining and glands in secretory phase. In a normal menstrual cycle, there is proliferative phase- ovulation- secretory phase- menstruating phase. During the secretory phase the endometrium is thickened as seen on the MRI. thanks and take care Dr Shailja P Wahal