Ultrasound results

bohogirl

Hi, I had ultrasounds on May 26 of reproductive organs due to occasional sptoting, cramping, & dull pain at my Gyno. This past Thursday met with the doc to go over results and he informed me he would be doing an endometrial biopsy due to thickening of uterine wall, small myomas, and fluid in endometrial canal. I'm 51, soon to 52 and haven't had a period in two years. he was unsuccessful with the biopsy due to my uterus is tipped back and my cervix is curved. he suggested a D & C, but then gave me the option to wait 6 months and have another ultrasound? He also felt a lump near my c-section incision, so ordered a Ct scan without contrsat which I will have done tomorrow. The strange part is that he scheduled an appointment with a general surgeon to go over the CT results with? I'm kind of baffled. Any thoughts? 

pinky104

bohogirl

He might have thought the lump near the incision combined with the fluid might mean the possibility of cancer.  Sometimes a fluid collection is ascites from a malignancy, but sometimes it's not, too.  I'm not sure if that particular location would be one where a malignant ascites would develop.  When I had an office job in an ER, the charts just referred to "abdominal ascites" but didn't specify exactly where in the abdomen the fluid accumulated.  

I had a D&C 10 years before I developed uterine cancer, and at that time, I had thickening of the uterine wall, too, but no cancer yet.  I had a non-cancerous polyp removed at that time.  My uterus was also tipped, but as far as I know, the cervix was normally shaped.  I was 51 at the time and was three months past menopause. I know someone else who developed breast cancer in both breasts, had fluid in her abdomen, and endometrial thickening.  She thought she might have uterine cancer, too, but it turned out she didn't.  However, she has to be checked yearly just in case it develops.

I had spotting both with the first polyp, the benign one, and the second one, the malignant one.  I also had spotting from cervical polyps 6 different times and had them removed each time.

I would go for the D&C if I were you.  You'll most likely be worried the whole 6 months otherwise.  You might as well do something about it now.  My gynecologist had told me my second polyp was almost certainly benign, but it turned out I had stage IVb uterine cancer.  I had a CT scan (probably with contrast) after my D&C and that showed the cancer had spread to both ovaries, the omentum, and the small intestine.  

I had some dull cramping at times.  I thought I had celiac disease like my mother, but all my tests came out negative.  I was stumped until I started bleeding again when I was well into stage IV and my gynecologist did an ultrasound, finding the polyp.  Most people bleed at earlier stages, I guess.  At least that's what I've found from reading the comments on this site. 

The earlier you get diagnosed, the better your chances may be.  If everything turns out to be negative, you'll have some peace of mind by getting everything done now.  There's always a possibility that the lump is scar tissue from your c-section or something else like endometriosis, but the spotting is worrisome.

Good luck to you.  Try not to worry too much.  Easier said than done!  Let us know your results.

bohogirl

pinky104 said:

bohogirl

He might have thought the lump near the incision combined with the fluid might mean the possibility of cancer.  Sometimes a fluid collection is ascites from a malignancy, but sometimes it's not, too.  I'm not sure if that particular location would be one where a malignant ascites would develop.  When I had an office job in an ER, the charts just referred to "abdominal ascites" but didn't specify exactly where in the abdomen the fluid accumulated.  

I had a D&C 10 years before I developed uterine cancer, and at that time, I had thickening of the uterine wall, too, but no cancer yet.  I had a non-cancerous polyp removed at that time.  My uterus was also tipped, but as far as I know, the cervix was normally shaped.  I was 51 at the time and was three months past menopause. I know someone else who developed breast cancer in both breasts, had fluid in her abdomen, and endometrial thickening.  She thought she might have uterine cancer, too, but it turned out she didn't.  However, she has to be checked yearly just in case it develops.

I had spotting both with the first polyp, the benign one, and the second one, the malignant one.  I also had spotting from cervical polyps 6 different times and had them removed each time.

I would go for the D&C if I were you.  You'll most likely be worried the whole 6 months otherwise.  You might as well do something about it now.  My gynecologist had told me my second polyp was almost certainly benign, but it turned out I had stage IVb uterine cancer.  I had a CT scan (probably with contrast) after my D&C and that showed the cancer had spread to both ovaries, the omentum, and the small intestine.  

I had some dull cramping at times.  I thought I had celiac disease like my mother, but all my tests came out negative.  I was stumped until I started bleeding again when I was well into stage IV and my gynecologist did an ultrasound, finding the polyp.  Most people bleed at earlier stages, I guess.  At least that's what I've found from reading the comments on this site. 

The earlier you get diagnosed, the better your chances may be.  If everything turns out to be negative, you'll have some peace of mind by getting everything done now.  There's always a possibility that the lump is scar tissue from your c-section or something else like endometriosis, but the spotting is worrisome.

Good luck to you.  Try not to worry too much.  Easier said than done!  Let us know your results.

Ultrasound results

Thanks so much for your input. I will have the Ct scan tomorrow and take it from there. I thought I had an ovarian cyst, i use to get them quite frequently before I had children. This result kind of caught me off guard. 

 

I hope you are doing well in your journey. Thanks again.

~ J 

cared1027

Ultrasound Results

I agree with Pinky104...3 years ago I too had and ultrasound which indicated unterine thinkening and a polyp.  I was 58 at the time and my GYN advised since I was post-menopausal she strongly recomended a d&c which I agreed to have.   She did not suspect cancer and said the majority of cases a polyp is not malignant. The polyp was removed and a we all thought that was it.  What a surprise to learn 1 week later I had a High grade malignancy (Grade 3 Clear Cell).  I was referred to a Gyn oncologist to do a hysterectomy 2 weeks later.  Thankfully, there was no additional cancer and I am still NED 3 years later.   My point is if I had waited I'm sure there would have been a different outcome.

bohogirl

cared1027 said:

Ultrasound Results

I agree with Pinky104...3 years ago I too had and ultrasound which indicated unterine thinkening and a polyp.  I was 58 at the time and my GYN advised since I was post-menopausal she strongly recomended a d&c which I agreed to have.   She did not suspect cancer and said the majority of cases a polyp is not malignant. The polyp was removed and a we all thought that was it.  What a surprise to learn 1 week later I had a High grade malignancy (Grade 3 Clear Cell).  I was referred to a Gyn oncologist to do a hysterectomy 2 weeks later.  Thankfully, there was no additional cancer and I am still NED 3 years later.   My point is if I had waited I'm sure there would have been a different outcome.

Ultrasound results

Thank you for replying. I had a Ct scan this morning. Ever since the doc tried to do the biopsy in the office I have had more discomfort and pressure that makes me feel the need to urinate constantly. very annoying, to say the least. I'm going to seriously consider the D & C after I get results from Ct scan. 

 

Thanks again, much appreciated,

~ J

bohogirl

pinky104 said:

bohogirl

He might have thought the lump near the incision combined with the fluid might mean the possibility of cancer.  Sometimes a fluid collection is ascites from a malignancy, but sometimes it's not, too.  I'm not sure if that particular location would be one where a malignant ascites would develop.  When I had an office job in an ER, the charts just referred to "abdominal ascites" but didn't specify exactly where in the abdomen the fluid accumulated.  

I had a D&C 10 years before I developed uterine cancer, and at that time, I had thickening of the uterine wall, too, but no cancer yet.  I had a non-cancerous polyp removed at that time.  My uterus was also tipped, but as far as I know, the cervix was normally shaped.  I was 51 at the time and was three months past menopause. I know someone else who developed breast cancer in both breasts, had fluid in her abdomen, and endometrial thickening.  She thought she might have uterine cancer, too, but it turned out she didn't.  However, she has to be checked yearly just in case it develops.

I had spotting both with the first polyp, the benign one, and the second one, the malignant one.  I also had spotting from cervical polyps 6 different times and had them removed each time.

I would go for the D&C if I were you.  You'll most likely be worried the whole 6 months otherwise.  You might as well do something about it now.  My gynecologist had told me my second polyp was almost certainly benign, but it turned out I had stage IVb uterine cancer.  I had a CT scan (probably with contrast) after my D&C and that showed the cancer had spread to both ovaries, the omentum, and the small intestine.  

I had some dull cramping at times.  I thought I had celiac disease like my mother, but all my tests came out negative.  I was stumped until I started bleeding again when I was well into stage IV and my gynecologist did an ultrasound, finding the polyp.  Most people bleed at earlier stages, I guess.  At least that's what I've found from reading the comments on this site. 

The earlier you get diagnosed, the better your chances may be.  If everything turns out to be negative, you'll have some peace of mind by getting everything done now.  There's always a possibility that the lump is scar tissue from your c-section or something else like endometriosis, but the spotting is worrisome.

Good luck to you.  Try not to worry too much.  Easier said than done!  Let us know your results.

More tests...

Ct of pelvis was normal, but a small nodule was discovered in the left lower lobe of lung. Had PET scan yesterday. Called docs office this afternoon to see if they had received results, after being put on hold the front desk gal came back on phone and told me the nurse would call me tomorrow to go over the results. Puzzled?  I wish I would have waited until tomorrow to call. have you had experience with PET scans?

Kaleena

bohogirl said:

More tests...

Ct of pelvis was normal, but a small nodule was discovered in the left lower lobe of lung. Had PET scan yesterday. Called docs office this afternoon to see if they had received results, after being put on hold the front desk gal came back on phone and told me the nurse would call me tomorrow to go over the results. Puzzled?  I wish I would have waited until tomorrow to call. have you had experience with PET scans?

PET Scans

I have had 5 PET scan within the last year and a half and have another scheduled in November.   PETs are good at finding active cancer, but sometimes like in my case, I do have a PET positive mass but it is considered mild to moderate.   They tried to biopsy the mass but they only biopsied the part that was not PET positive and that part was negative.   We have been keeping an eye on the mass for a year and a half as it was growing little by little.  It is now 6 cm (from 2.7 cm) and at first the PET reading was a 2.3 and it is now a 3.4.

What else would you like to know about PET scans?   As you know, PET scans take radioactive sugar which cancer cells like so if you have active cancer they will "light up".   A CT scan can show mass sizes, etc., but cannot always determine whether a mass is benign or cancerous.

 

I hope this helps.

Kathy

bohogirl

Kaleena said:

PET Scans

I have had 5 PET scan within the last year and a half and have another scheduled in November.   PETs are good at finding active cancer, but sometimes like in my case, I do have a PET positive mass but it is considered mild to moderate.   They tried to biopsy the mass but they only biopsied the part that was not PET positive and that part was negative.   We have been keeping an eye on the mass for a year and a half as it was growing little by little.  It is now 6 cm (from 2.7 cm) and at first the PET reading was a 2.3 and it is now a 3.4.

What else would you like to know about PET scans?   As you know, PET scans take radioactive sugar which cancer cells like so if you have active cancer they will "light up".   A CT scan can show mass sizes, etc., but cannot always determine whether a mass is benign or cancerous.

 

I hope this helps.

Kathy

Pet Scans

Thank you for your response.  Just thinking the worst since they would not give me the results today over the phone, and told me the nurse will call me tomorrow yo go over the results. The doctor was straight forward with me when he ordered it, stated that the ct showed it to be suspicious of cancer. 

Kaleena

bohogirl said:

Pet Scans

Thank you for your response.  Just thinking the worst since they would not give me the results today over the phone, and told me the nurse will call me tomorrow yo go over the results. The doctor was straight forward with me when he ordered it, stated that the ct showed it to be suspicious of cancer. 

It takes a good day or two

It takes a good day or two for the results, unless your physician orders it Stat and then it still take several hours for that too, or at least they have to have the results by the end of the day.

 

Kathy