Pelvic mass - Could it be malignant?

Chief Complaint A 52 y/o female presents with a pelvic mass. History She has h/o breast fibroadenoma and had undergone surgery. She has 2 kids by normal delivery, both healthy. Vitals BP: 130/50 mmhg, Resp rate: 20 bpm, Pulse: 76 bpm, Temp: 98.2 degree F Investigations Pelvic transvaginal & abdominal ultrasound shows an enlarged uterus & small uterine myomas. The endometrial layer was regular. Both ovaries are of normal size. Chest X-ray & serum CA-125 markers - negative. Should we go for MRI or what further investigation should be done? Treatment Advise the line of management.

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Past h/o Fibroadenoma breast and under gone surgery i hope it was benign Present vaginal usg suggest uterine myoma which is benign in all possibilities Get confirm by biopsy ct abdomen Or suggest hystrectomy

Thanx dr Ashok Leel
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Since both ovaries are visualized and are normal, pelvic mass is unlikely to be ovarian mass. Uterus is enlarged and myomas are present. This pelvic mass may be a subserosal ,pedunculated myoma. Bladder, and colon need to be viewed. CEA, CT scan abdomen needed . Colonoscopy can be done if there are GI symptoms.

? UTERINE PATHOLOGY.. NEED'S.. CTCE STUDY..SOS..ABDOMEN PELVIC..

Tnx Dr Vipin Bihari Jain sir
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Patient 52yrs. Go for.. TAH... with BSO BIOPSY OF MYOMAS

CT scan of abdomen and pelvis to look for size, location, extent of mass and is associated complications

Best answer could be Pathological evaluation of uterus by any diagnostic methodology.

At 52 yrs of age it's fits for total abdominal hysterectomy

Thanks Dr. Kute Ankush
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Needs further investigation and evaluation to conclude and rule out pathology of uterus. CECT ABDO.

Thanks Dr Shivraj Agarwal
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Do CECT Abdomen Pelvis for Confirm Hysterectomy is ideal for this, then Histopath

Do biopsy of uterine mass Till manage conservatively

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