Re: endometrial mass

From: hassan kamel (hskamel@yahoo.com)
Fri Aug 30 19:00:28 2002


--- jessRn <kracy@att.bi> wrote: > 43 y/o multiparous, obese pt with enlarged uterus(20 wks), progressively
> heavier and longer periods x1 yr, with lumbar and bilateral hip pain. No
> prior h/o gyn or fertility probs (except pds of anovulation secondary to
> hypothyroidism).
> Pelvic ultrasound shows well-defined rounded cystic mass (9 x 8.6 x 9.4
> cm) posterior to uterus with multiple low-level internal echoes.
> Radiologist says most likely secondary to endometriosis (no prior
> hx)...what other pathology could be indicated?
>

Submucous fibroid if it seems endometrial as you titled; if posterior to the uterus d.d. would include degenerate subserous fibroid and ovarian cyst.

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