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How to detect fibroid malignancy?From: Karen (anonymous@obgyn.net)Wed, 23 Jul 2003 09:57:03 -0500 (CDT)
Is there a way to determine if a large fibroid is cancerous, short of a hysterectomy? Is biopsy possible? Would an MRI give an indication? Background: Last winter, began bleeding VERY heavily, almost non-stop, with cramps and big clots; became anemic; 10 days of provera didn't stop bleeding. Ultrasound showed enlarged uterus and a fibroid which had grown over 9 years, from 3.8x3.4 in '94 to 6.4x6 in '03, and indicated thickened endometrium. Immediate abdominal hysterectomy strongly recommended by MD. Asked for cancer check first. Attempts at endometrial biopsy failed. Insisted on diagnostic D&C; was told procedure wouldn't help condition. Hystereoscope / D&C discovered and removed large uterine polyp (misread as thickened endometrium) in March; all benign. Symptoms have disappeared entirely! Periods regular, and for me, very light, no pain or pressure. MD still advises hysterectomy for cancer-threat of growing fibroid. Want to avoid major abdominal surgery if cancer not present. (Age 48, no pregnancies, overwieght but not obese, no other health issues; periods began at 11; history of heavy periods since age 15.) Many thanks, Karen
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