WOMENS-HEALTH Messages for May, 2000: Re: Next steps to distinguish between a uterine fibroid or cervical carcinoma

Re: Next steps to distinguish between a uterine fibroid or cervical carcinoma

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 7 May 2000 16:37:55 -0500 (CDT)

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In reply to: Kay: "Next steps to distinguish between a uterine fibroid or cervical carcinoma"

At Sun, 7 May 2000, Kay wrote: >
>Over the past two weeks, I have had an ultra sound and MRI because of
>extremely heavy post menopausal bleeding. I am 56 years old and am not
>on hormones.
>
>The impressions are:
>1. 2cm round mass in the anterior cervix which is surrounded by normal
>cervical tissue. This may represent a uterine fibroid or cervical
>carcinoma. If this does represent cervical carcinoma, there is no
>evidence of spread into adjacent structures or metastatic disease. The
>endomerial stripe is mildly thickened for a post-menopausal woman not on
>hormone replacements. This is possibly due to the mass occluding the
>endocervical canal. This mass corresponds to the ultrasound fudning.
>
>2. 1.5 cm fibroid in the posterior uterine fundus.
>
>I would expect that treatment will depend on whether this is a fibroid
>or cervical carcinoma.
>
>What are my options?
>
>I will be seeing my ob-gyn, hopefully within the next week. I would
>like to be somewhat knowledgeable in discussing the options I have.
>Thanks!

Kay THis sounds most like a uterine fibroid. Your MD will want to do a pap smear, and will likely want to schedule you to go to the OR and probably do a D & C and an Hysteroscopy. That will allow him to remove the fibroid and assess the uterine lining. He may also want to go straight to an Hysterectomy. This is fine also provided your pap smear does not make him suspicious of cancer. Good Luck

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: William F. von Almen, II, MD, FACOG: "Re: Constipation/Vaginal problems"
Previous message: William F. von Almen, II, MD, FACOG: "Re: what is it?"
In reply to: Kay: "Next steps to distinguish between a uterine fibroid or cervical carcinoma"

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