Re: no subject received Tue, 3 Mar 2009 01:09:11 -0600 (u/s report)
From: gypsy (Den0481@AOL.com)
Tue Mar 24 12:06:55 2009
Thank you for your reply
The doctor is refusing either MRI ("the follow up to an MRI is an U/S,
the follow-up to a U/S is an Saline U/S. We've done both so there is no
indication for a MRI)or hysteroscopy ("it's on the outside of the
uterus, so a hysteroscopy would not be able to see it or touch it")
because of the location of the "something", that they don't know what it
is.
I'll push for a 2nd opinion.
At Tue, 24 Mar 2009, chetna jain wrote:
>
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>what ever imaging modalities are used there is no substitute for an
>endometrial biopsy,preferrably hysteroscopy guided
>
>On Tue, Mar 24, 2009 at 2:14 AM, <Den0481@aol.com> wrote:
>
>> I thought I'd give you a follow-up
>> The doctor says the only choice is a hysterectomy because the mass is on
>> the wall of the uterus (outside the uterus) & they can't tell what it is
>> without removing it.
>>
>> In a message dated 3/3/2009 11:35:01 A.M. Eastern Daylight Time,
>> lyons@cc.umanitoba.ca writes:
>>
>> I have seen several cases of this. There is an echogenic area in the
>> subendometrial area. You will see nothing on SIS or hysteroscopy. It is
>> likely fat or hydropic change but unlikely malignant or significant in OUR
>> cases. I would need to see your images to be certain.
>>
>> Ted
>>
>> Dr E.A. Lyons O.C. FRCP(C), FACR
>> Prof of Radiology, Obstet & Gyn and Anatomy
>>
>> -----Original Message-----
>> From: ultrasound@obgyn.net [mailto:ultrasound@obgyn.net] On Behalf Of
>> gypsy
>> Sent: Tuesday, March 03, 2009 8:52 AM
>> To: Multiple recipients of list ULTRASOUND
>> Subject: Re: no subject received Tue, 3 Mar 2009 01:09:11 -0600 (u/s
>> report)
>>
>> At Tue, 3 Mar 2009, Anthony E. Swartz wrote:
>>
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>> Probably a submucosal fibroid or less likely an endometrial polyp.
>>
>> aes
>>
>> Thank you, she was told to have a hysterectomy (age 62) because her
>> doctor said,
>> "we don't know what it is".
>>
>> Original U/S showed ....
>> Uterus: anteverted, enlarged with myomas as noted below.
>> Sie: logitudinal 76 mm, anterio-posterior 61mm, transverse 77 mm
>> Estimated uterine weight 185 grams
>> cervical length 28 mm
>> Myometrium:
>> Fibroids:
>> 1. size 24 mm, intramural, right lateral wall
>> 2. size 63 mm, subserous posterior
>> Endometrium; appears ill-defined, echogenic, & thickened. Thickness
>> 20.1 mm
>> Left ovary: size 27 mm x 14 mm
>> Right ovary: size 31 mm x 11 mm
>> Method: transvaginal ultrasound, color Doppler, 2D, 3D
>> Report Summary:
>> Overall impression: endometrium is distorted, echogenic, thickened: an
>> intracavity echogenic mass is likely
>>
>> On Tue, Mar 3, 2009 at 2:10 AM, gypsy <Den0481@aol.com> wrote:
>>
>> As a home health nurse, I had a patient yesterday show me her ultrasound
>> report & ask me to explain it to her, as she didn't understand what her
>> doctor had told her.
>>
>> I had no idea what that report meant.
>>
>> She has had had fibroids for years & has them checked yearly by U/S.
>> This year they were concerned about the endrometrium being thickened.
>> Biopsy was performed & was negative. A saline ultrasound was performed
>> which showed no thickened endrometrium, no intracavitary mass. But, did
>> show "the echogenic area of irregular shape, thought to be intracavitary
>> on prior scan is actually located in the left anterior wall. This area
>> shows irregular texture, is well demarcated from surrounding uterine
>> tissue, but is of
>> irregular shape and contour."
>> large posterior myome again noted
>> small, right, anterior myome noted
>>
>> Can you help me explain these results to her?
>> her physician is currently out of town)
>> >>
>> >--
>> >Anthony E. Swartz, B.S., RT(R), RDMS
>> >Practice Supervisor, Maternal-Fetal Medicine
>> >WakeMed Health & Hospitals
>> >Raleigh, North Carolina
>> >919-622-7412
>> >http://www.wakemed.org
>> >http://www.sonoaes.net
>> >
>> >--0016e64755a43323d6046436ed00
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>> ><div>Probably a submucosal fibroid or less likely an endometrial
>> polyp.</div>
>> ><div> </div>
>> ><div>aes
>>
>> </div>
>> ><div class="gmail_quote">On Tue, Mar 3, 2009 at 2:10 AM, gypsy <span
>> dir="ltr"><Den0481@aol.com></span>
>> wrote:
>>
>> ><blockquote class="gmail_quote" style="PADDING-LEFT: 1ex; MARGIN: 0px 0px
>> 0px 0.8ex; BORDER-LEFT: #ccc 1px solid">As a home health nurse, I had a
>> patient yesterday show me her ultrasound
>> report & ask me to explain it to
>> her, as she didn't understand what her
>>
>> >doctor had told her.
>>
>> I had no idea what that report
>> meant.
>>
>> She has had had fibroids for years & has them checked yearly
>> by U/S.
>> This year they were concerned about the endrometrium being
>> thickened.
>>
>> >Biopsy was performed & was negative. A saline ultrasound was
>> performed
>> which showed no thickened endrometrium. But, did showed "the
>> echogenic
>> area of irregular shape, thought to be intracavitary on prior
>> scan is
>>
>> >actually located in the left anterior wall. This area shows
>> irregular
>> texture, is well demarcated from surrounding uterine tissue,
>> but is
>> irregular shape and contour."
>>
>> Can you help me explain these
>> results to her?
>>
>> > (her physician is currently out of town)
>> </blockquote></div>
>> clear="all">
>> --
>> Anthony E. Swartz, B.S., RT(R), RDMS
>> Practice
>> Supervisor, Maternal-Fetal Medicine
>> WakeMed Health &
>> Hospitals
>> Raleigh, North Carolina
>>
>> >919-622-7412
>> http://www.wakemed.org
>> href="http://www.sonoaes.net">www.sonoaes.net
>>
>> >
>> >--0016e64755a43323d6046436ed00--
>> >
>>
>> ------------------------------
>> Feeling the pinch at the grocery store? Make dinner for $10 or less<http://food.aol.com/frugal-feasts?ncid=emlcntusfood00000001>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> .
>> ------------------------------
>>
>> ------------------------------
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>what ever imaging modalities are used there is no substitute for an endometrial biopsy,preferrably hysteroscopy guided<br><br>
><div class="gmail_quote">On Tue, Mar 24, 2009 at 2:14 AM, <span dir="ltr"><<a href="mailto:Den0481@aol.com">Den0481@aol.com</a>></span> wrote:<br>
><blockquote class="gmail_quote" style="PADDING-LEFT: 1ex; MARGIN: 0px 0px 0px 0.8ex; BORDER-LEFT: #ccc 1px solid">
><div style="FONT-SIZE: 10pt; COLOR: #000000; FONT-FAMILY: Arial"><font face="Arial" color="#000000" size="2">
><div><font color="#ff0000">I thought I'd give you a follow-up</font></div>
><div><font color="#ff0000">The doctor says the only choice is a hysterectomy because the mass is on the wall of the uterus (outside the uterus) & they can't tell what it is without removing it.</font></div>
><div>
><div></div>
><div class="h5">
><div><font color="#ff0000"></font> </div>
><div> </div>
><div>
><div>In a message dated 3/3/2009 11:35:01 A.M. Eastern Daylight Time, <a href="mailto:lyons@cc.umanitoba.ca" target="_blank">lyons@cc.umanitoba.ca</a> writes:</div>
><blockquote style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: blue 2px solid"><font style="BACKGROUND-COLOR: transparent" face="Arial" color="#000000" size="2">I have seen several cases of this. There is an echogenic area in the<br>
>subendometrial area. You will see nothing on SIS or hysteroscopy. It is<br>likely fat or hydropic change but unlikely malignant or significant in OUR<br>cases. I would need to see your images to be certain.<br><br><br>Ted<br>
><br>Dr E.A. Lyons O.C. FRCP(C), FACR<br>Prof of Radiology, Obstet & Gyn and Anatomy<br><br>-----Original Message-----<br>From: <a href="mailto:ultrasound@obgyn.net" target="_blank">ultrasound@obgyn.net</a> [mailto:<a href="mailto:ultrasound@obgyn.net" target="_blank">ultrasound@obgyn.net</a>] On Behalf Of gypsy<br>
>Sent: Tuesday, March 03, 2009 8:52 AM<br>To: Multiple recipients of list ULTRASOUND<br>Subject: Re: no subject received Tue, 3 Mar 2009 01:09:11 -0600 (u/s report)<br><br>At Tue, 3 Mar 2009, Anthony E. Swartz wrote:<br><br>
>--0016e64755a43323d6046436ed00<br>Content-Type: text/plain; charset=ISO-8859-1<br>Content-Transfer-Encoding: 7bit<br><br>Probably a submucosal fibroid or less likely an endometrial polyp.<br><br>aes<br><br>Thank you, she was told to have a hysterectomy (age 62) because her<br>
>doctor said,<br>"we don't know what it is".<br><br>Original U/S showed ....<br>Uterus: anteverted, enlarged with myomas as noted below.<br>Sie: logitudinal 76 mm, anterio-posterior 61mm, transverse 77 mm<br>
>Estimated uterine weight 185 grams<br>cervical length 28 mm<br>Myometrium:<br>Fibroids:<br>1. size 24 mm, intramural, right lateral wall<br>2. size 63 mm, subserous posterior<br>Endometrium; appears ill-defined, echogenic, & thickened. Thickness<br>
>20.1 mm<br>Left ovary: size 27 mm x 14 mm<br>Right ovary: size 31 mm x 11 mm<br>Method: transvaginal ultrasound, color Doppler, 2D, 3D<br>Report Summary:<br>Overall impression: endometrium is distorted, echogenic, thickened: an<br>
>intracavity echogenic mass is likely<br><br>On Tue, Mar 3, 2009 at 2:10 AM, gypsy <<a href="mailto:Den0481@aol.com" target="_blank">Den0481@aol.com</a>> wrote:<br><br>As a home health nurse, I had a patient yesterday show me her ultrasound<br>
>report & ask me to explain it to her, as she didn't understand what her<br>doctor had told her.<br><br>I had no idea what that report meant.<br><br>She has had had fibroids for years & has them checked yearly by U/S.<br>
>This year they were concerned about the endrometrium being thickened.<br>Biopsy was performed & was negative. A saline ultrasound was performed<br>which showed no thickened endrometrium, no intracavitary mass. But, did<br>
>show "the echogenic area of irregular shape, thought to be intracavitary<br>on prior scan is actually located in the left anterior wall. This area<br>shows irregular texture, is well demarcated from surrounding uterine<br>
>tissue, but is of<br>irregular shape and contour."<br>large posterior myome again noted<br>small, right, anterior myome noted<br><br>Can you help me explain these results to her?<br>her physician is currently out of town)<br>
>>><br>>--<br>>Anthony E. Swartz, B.S., RT(R), RDMS<br>>Practice Supervisor, Maternal-Fetal Medicine<br>>WakeMed Health & Hospitals<br>>Raleigh, North Carolina<br>>919-622-7412<br>><a href="http://www.wakemed.org/" target="_blank">http://www.wakemed.org</a><br>
>><a href="http://www.sonoaes.net/" target="_blank">http://www.sonoaes.net</a><br>><br>>--0016e64755a43323d6046436ed00<br>>Content-Type: text/html; charset=ISO-8859-1<br>>Content-Transfer-Encoding: quoted-printable<br>
>><br>><div>Probably a submucosal fibroid or less likely an endometrial<br>polyp.</div><br>><div> </div><br>><div>aes<br><br></div><br>><div class="gmail_quote">On Tue, Mar 3, 2009 at 2:10 AM, gypsy <span<br>
>dir="ltr"><<a title="mailto:Den0481@aol.com" href="mailto:Den0481@aol.com" target="_blank">Den0481@aol.com</a>></span><br>wrote:<br><br>><blockquote class="gmail_quote" style="PADDING-LEFT: 1ex; MARGIN: 0px 0px<br>
>0px 0.8ex; BORDER-LEFT: #ccc 1px solid">As a home health nurse, I had a<br>patient yesterday show me her ultrasound<br>report & ask me to explain it to<br>her, as she didn't understand what her<br><br>>doctor had told her.<br>
><br>I had no idea what that report<br>meant.<br><br>She has had had fibroids for years & has them checked yearly<br>by U/S.<br>This year they were concerned about the endrometrium being<br>thickened.<br><br>>Biopsy was performed & was negative. A saline ultrasound was<br>
>performed<br>which showed no thickened endrometrium. But, did showed "the<br>echogenic<br>area of irregular shape, thought to be intracavitary on prior<br>scan is<br><br>>actually located in the left anterior wall. This area shows<br>
>irregular<br>texture, is well demarcated from surrounding uterine tissue,<br>but is<br>irregular shape and contour."<br><br>Can you help me explain these<br>results to her?<br><br>> (her physician is currently out of town)<br>
></blockquote></div><br>clear="all"><br>-- <br>Anthony E. Swartz, B.S., RT(R), RDMS<br>Practice<br>Supervisor, Maternal-Fetal Medicine<br>WakeMed Health &<br>Hospitals<br>Raleigh, North Carolina<br>
><br>>919-622-7412<br><a title="http://www.wakemed.org/" href="http://http://www.wakemed.org/" target="_blank">http://www.wakemed.org</a><br>href="<a href="http://www.sonoaes.net/" target="_blank">http://www.sonoaes.net</a>"><a href="http://www.sonoaes.net/" target="_blank">www.sonoaes.net</a><br>
><br>><br>>--0016e64755a43323d6046436ed00--<br>><br><br></font></blockquote></div></div></div></font>
><div>
><div></div>
><div class="h5"><br><font style="FONT: 10pt arial,san-serif; COLOR: black">
><hr style="MARGIN-TOP: 10px">
>Feeling the pinch at the grocery store? <a href="http://food.aol.com/frugal-feasts?ncid=emlcntusfood00000001" target="_blank">Make dinner for $10 or less</a>.</font></div></div></div></blockquote></div><br>
>
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