求助：突然被告知有子宫肌瘤，心情忐忑求test results解释+bless！
majia4
楼主 (北美华人网)
update: 谢谢大家，大龄备孕才发现肌瘤这个问题的，现在最担心的是要先动手术恢复完才能继续准备怀孕。要是平时有常规检查把这些问题提前解决就好了，省的备孕才发现，好耽误时间呀。
一直以来自我认为身体还不错的，虽然偶尔有些小病小痛但是没想到突如其来的被告知有子宫肌瘤（2个!!) 还有 polyp。现在在备孕，不知道影响有多大。。。医生说很多孕龄女生都有肌瘤（>50%), 这么普遍然而年检里却没有任何检查我也是大写的服了。
下面是核磁共振的结果，然而下周才有医生appointment。 本人非医科背景，今晚都在狗来狗去查专业术语，求牛人帮忙解释下结果. 这个会影响怀孕吗？是不是需要手术呀？ 这个周末太难熬了 5555.
IMPRESSION: 1. Leiomyomatous uterus with dominant 4.6 cm intramural fibroid. No MRI features of leiomyosarcoma. 2. A 1.4 CM ENHANCING LESION WITHIN THE ENDOMETRIAL CAVITY, COMPATIBLE WITH AN ENDOMETRIAL POLYP. RECOMMEND FURTHER EVALUATION WITH TISSUE TO EXCLUDE NEOPLASIA. 3. Mild nonspecific plaque like thickening within the posterior pelvic compartment, may represent mild nonspecific pelvic scarring, however in the appropriate clinical setting findings may indicate deep pelvic endometriosis. Correlate with appropriate symptomatology.
Fibroid 1 Size: 3 [CC] x 4.1 [AP] x 4.6 [transverse] cm Location within the uterus: Left anterior uterine body Type: Intramural Percent enhancement: 100% Fibroid 2 Size: 3.2 [CC] x 3.1 [AP] x 3.8 [transverse] cm Location within the uterus: Midline posterior uterine body Type: Subserosal Subserosal fibroid is broad-based to myometrium with the width of stalk/myometrial attachment site measuring 3 cm Percent enhancement: 100% Additional subcentimeter intramural fibroid within the posterior uterine body. Cervix: No cervical fibroid. Subcentimeter nabothian cysts. Endometrium: 13 mm. T2 hyperintense and well-circumscribed lesion within the anterior aspect of the endometrial canal, at the level of the uterine fundus, measuring 1.4 x 0.9 cm, which demonstrates homogeneous enhancement, and likely arises from the left anterior endometrial wall, compatible with an endometrial polyp. Focal adenomyomas: None Ovaries: No endometrioma. 1.7 cm left ovarian corpus luteum. Additional findings: Mild T2 hypointense bandlike thickening of the uterosacral ligaments and torus uterinus. Additional linear T2 hypointense bands extending from the posterior uterine body to the anterior rectal wall with slight tethering. Small volume pelvic ascites.
一直以来自我认为身体还不错的，虽然偶尔有些小病小痛但是没想到突如其来的被告知有子宫肌瘤（2个!!) 还有 polyp。现在在备孕，不知道影响有多大。。。医生说很多孕龄女生都有肌瘤（>50%), 这么普遍然而年检里却没有任何检查我也是大写的服了。
下面是核磁共振的结果，然而下周才有医生appointment。 本人非医科背景，今晚都在狗来狗去查专业术语，求牛人帮忙解释下结果. 这个会影响怀孕吗？是不是需要手术呀？ 这个周末太难熬了 5555.
IMPRESSION: 1. Leiomyomatous uterus with dominant 4.6 cm intramural fibroid. No MRI features of leiomyosarcoma. 2. A 1.4 CM ENHANCING LESION WITHIN THE ENDOMETRIAL CAVITY, COMPATIBLE WITH AN ENDOMETRIAL POLYP. RECOMMEND FURTHER EVALUATION WITH TISSUE TO EXCLUDE NEOPLASIA. 3. Mild nonspecific plaque like thickening within the posterior pelvic compartment, may represent mild nonspecific pelvic scarring, however in the appropriate clinical setting findings may indicate deep pelvic endometriosis. Correlate with appropriate symptomatology.
Fibroid 1 Size: 3 [CC] x 4.1 [AP] x 4.6 [transverse] cm Location within the uterus: Left anterior uterine body Type: Intramural Percent enhancement: 100% Fibroid 2 Size: 3.2 [CC] x 3.1 [AP] x 3.8 [transverse] cm Location within the uterus: Midline posterior uterine body Type: Subserosal Subserosal fibroid is broad-based to myometrium with the width of stalk/myometrial attachment site measuring 3 cm Percent enhancement: 100% Additional subcentimeter intramural fibroid within the posterior uterine body. Cervix: No cervical fibroid. Subcentimeter nabothian cysts. Endometrium: 13 mm. T2 hyperintense and well-circumscribed lesion within the anterior aspect of the endometrial canal, at the level of the uterine fundus, measuring 1.4 x 0.9 cm, which demonstrates homogeneous enhancement, and likely arises from the left anterior endometrial wall, compatible with an endometrial polyp. Focal adenomyomas: None Ovaries: No endometrioma. 1.7 cm left ovarian corpus luteum. Additional findings: Mild T2 hypointense bandlike thickening of the uterosacral ligaments and torus uterinus. Additional linear T2 hypointense bands extending from the posterior uterine body to the anterior rectal wall with slight tethering. Small volume pelvic ascites.