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R: Uterine cystsFrom: Andrea Corda (acord@tin.it)Wed Jan 17 14:23:55 2001
I would think of it as an inflammatory aspect related to the curettage recently performed.If so,then the process that produces these cysts might be similar to that of Nabothian cysts in the neck of the womb:retention cysts that are seen more clearly when there is a fairly consistent estrogen incretion.BTW,there must have been some hyperplasia on the histologic specimen. Andrea
> ----- Original Message ----- Dear colleagues, Can you give me some infor as to the cysts in uterine cavity? My looking for them in the Net have brought nothing. To-day seen a 22 year woman who came to have the follow up sono on her 22 cycle day (28). 2 months back her endometrium M-echo19 mm (24 day) thick was very unusual looking as though containing small polyps. Clinically menstrual disorder: long postmenstrual bleeding. On my conclusion on hyperplasia and recommendation she had diagnostic curretage that stopped bleeding but revealed no patho either on operation or hystologically. She waited another 2 months, i.e. one month after abrasio, then another after menstruation which was usual. My surprise it was when I found the cavity fulled with multiple cysts: thin walled, well marginated, of different size, the biggest 20 x17 mm. Endometrium resembling polycystic ovary. I have never seen anything of the like before. M-echo 22 mm. She told he had no intercorse after curretage, but had it in the last cycle. All the same the origine is very unclear. Sorry to have no images to present to the Forum. What can you suggest as the diagnosis? Anatoli I.Garkusha, MD, sonologist, Kiev, Ukraine.
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