What does my mother's endometrial lesion MRI show at 55?

Question

Hello doctor,

My mother, aged 55 years, got an MRI with an observation of 'intermediate signal intensity lesion noted in the endometrial cavity measuring 19x28x24, in the fundal body region with loss of endometrial interface. Tethering of the sigmoid colon with distal ileal loops to the uterus in the fundus region.

Kindly guide.

Answer 1

Hello,

Welcome to icliniq.com.

With this report (attachment removed to protect the patient's identity), there is a possibility of malignancy. Cancer of the uterus is more likely. I suggest you do a CA 125 level, CT (computed tomography) scan of the abdomen and pelvis, X-ray, sonography, PET (positron emission tomography) scan, and consult a gynecologist near you, and also take an opinion from an oncologist. Doctors will do other routine investigations. All this is to be done, and consultation along with clinical examination is required for deciding further management of this, whether to directly go for surgery or not. In that case, the best option is chemotherapy or radiotherapy.

But yes, you need to take steps on an urgent basis if the MRI report is like this and you suspect malignancy with some changes. I do not want to over exaggerate this, but malignancy can grow way faster than you imagine. The final diagnosis will be after sending for a biopsy or HPE (histopathological examination). I do not know why you have done the MRI (magnetic resonance imaging) and what complaints she has, but whatever it is, if this is what the report says, then the above things should be done as soon as possible.

I hope this information helps you.

Feel free to reach out in case of further queries.

Thank you.