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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does this ultrasound Result Mean?

Hi, Symptoms are cramping in lower abdomen and back, bloating, tenderness on lower left side of stomach. My gyno has done an ultrasound with a finding 10.5mm, with heterogeneous cystic changes? due to hyperplasia. In addition there is an area of focal echogenicity measuring 0.9x0.7x0.4cm, ?polypoid change. This lies to the left of midline.Conclusion Endometrial hyperplasia and focal polypid change? Haemorrhagic complication ovarian cyst left side. Gyno will perform a hysteroscopy in a couple of weeks time. I am worried it may be cancerous?! thanks N
posted on Wed, 12 Mar 2014
Twitter Thu, 11 Dec 2014 Answered on
Twitter Fri, 12 Dec 2014 Last reviewed on
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Radiologist,  's  Response
Hello

Due to heterogeneous echotexture of endometrium,you need biopsy of endometrium.It may be due to both benign or malignant reasons.
Biopsy can explain exact etiology.
During hysteroscopy,biopsy can be taken.
Focal echogenic lesions in endometrium may be polyps or submucosal fibroids.These are generally benign conditions and mostly managed conservatively.
However,you need clinical correlation and follow up.
Cyst in ovaries are need follow up.In most of the cases,these are benign and get resolve with time.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Does this ultrasound Result Mean?

Hello Due to heterogeneous echotexture of endometrium,you need biopsy of endometrium.It may be due to both benign or malignant reasons. Biopsy can explain exact etiology. During hysteroscopy,biopsy can be taken. Focal echogenic lesions in endometrium may be polyps or submucosal fibroids.These are generally benign conditions and mostly managed conservatively. However,you need clinical correlation and follow up. Cyst in ovaries are need follow up.In most of the cases,these are benign and get resolve with time. Get well soon. Take Care Dr.Indu Bhushan