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Fibroids n Cysts
Discussion in 'All Categories' started by Jyothi Saritha Miranda - May 16th, 2012 9:48 pm.
Jyothi Saritha Miranda
Jyothi Saritha Miranda
My report says
Uterus is anteverted and appears bulky measuring 9.3cm
re: Fibroids n Cysts by Dr J S Chowhan - May 17th, 2012 12:12 pm
Dr J S Chowhan
Dr J S Chowhan
Dear Jyothi Saritha Miranda

This is not very important if you don't have any symptom. Bulky uterus - Radiologist use this term taking all the dimensions of uterus,not only the length, because length may be more in multipara, and i always correlates clinically.

A bulky uterus may be suggestive of conditions, for example of, uterine fibroids, thickening, endometriosis etc.

Diffuse uterine enlargement is a very common clinical finding. As this abnormality can sometime represent a physiologic manifestation, benign tumor, or malignancy, the diagnostic dilemma of the diffusely enlarged uterus can be challenging.

Clinical findings can offer valuable information regarding physiologic effects, pregnancy-related changes, and hormonal causes. Cytologic examination is important for identification of cervical and endometrial malignancies.

However, since preoperative histologic study of myometrial lesions isn't feasible, preoperative distinction between benign and malignant conditions is often difficult. Imaging thus plays an important role in evaluation of myometrial lesions.

In particular, magnetic resonance (MR) imaging allows specific diagnosis of several different lesions. Signal voids and prominent vessels at MR imaging are sign of vascular lesions. Adenomyosis and leiomyomas could be distinguished from other lesions with MR imaging, although a variety of unusual manifestations is visible. MR imaging findings that allow distinction between leiomyoma and leiomyosarcoma haven't yet been clearly established; however, invasion, hemorrhagic necrosis, or rapid growth is suggestive of malignancy. Endometrial stromal sarcoma has a tendency to have distinct MR imaging features that permit differentiation from benign lesions.

The clinical presentation and history are essential for identification of those conditions. Examples are a history of drug administration and abnormal or prolonged bleeding inconsistent with patient age or menstrual cycle stage. Nonetheless, imaging findings may also be helpful. In conditions resulting from hormonal effects, an enlarged uterus has normal zonal anatomy, although the thickness or signal intensity of the endometrium and myometrium is abnormally increased.

You should not worry but consult a good gynecologist to exclude bad pathology. If only few fibroids are present and you have already completed for family the you should bot be worry..

With regards

J.S Chowhan
re: Fibroids n Cysts by Jyothi - May 18th, 2012 12:13 am
Mt report says- An intramural fibroid measuring 5.0cm
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