Q. Is the vascular mass mentioned in my transvaginal ultrasound a polyp?

Hi, Thanks for sharing the TVS scan reports and images.

Hope you are not in much discomfort. Answering your queries

1. The previous TVS scan report does not show any significant abnormality in endometrial cavity or uterus. However, in the scan done later, there is an endocervical lesion which appears to be well circumscribed and seen to occupy the lumen of the endocervical canal.

It shows few tiny cystic changes/ fluid spaces within. The lesion is mentioned in the report as vascular but supporting images showing vascularity or blood flow are not enclosed.

Therefore it is difficult for me to accurately comment on vascularity on the given images. This lesion could be either a polyp arising from cervix or from the endometrium. Since you are complaining of post coital bleeding, it needs detailed investigation with higher imaging modality like MRI. This is to visualise extent and for characterisation of the origin and nature of the lesion.

Further consultation with your gynecologist is recommended, who can do local examination and provide clinical input on the nature and management.

2. In reply to the difference in the findings between two scans done 15 months apart, it is possible that the lesion might have been of a tiny in size to be picked up on a scan previously and has now grown over the period to the present size and is well visualised on ultrasound scan. There are certain technical limitations in doing scans and 15 months is a reasonable time to allow for significant change in size or a new condition to develop.

Regards,

Hi, Thanks for writing in to us.

The size of the uterus in both reports are in normal limits for your age. The mild variation in length given as 69 mm in the previous scan and 90 mm in the present scan can be due to operator variablilty or can be due to technical differences in measurement, if one was measured in TAS scan and the other was in TVS scan. The growth of polyp also causes a bulky cervix and thereby resulting in an increase in the size of uterus in totality.

Endometrial thickness is also in normal limits for a woman who is menstruating. The endometrial thickness depends on hormone levels and gradually increases through the cycle till menstruation. So the sonologist has to correlate the endometrial thickness with the phase of menstrual cycle in an individual. I understand that the sonologist has confirmed the phase of your menstrual cycle and therefore mentioned it as within normal limits.

Thanks for sending the query.