Cervical mass

[HotTiredDog]

Can anyone please help me understand what’s going on?

After a recent ultrasound - expected to confirm cervical erosion - a mass has been discovered on my cervix. Attached is a screen shot of the letter from my Meno Nurse which includes text of the sonographers report.
Obviously I know that it’s all likely to be fine etc etc. But the words & measurements in this are really scaring me.
I have other major long standing health complications and honestly don’t know how much more my body can take.
FYI I’m 58, approx 3 years post menopausal.

Hopeful bump for the evening meno marvels…

Anyone got any input? Please?

Are you going to have a follow up with your GP who referred you? Have you an appointment booked OR is your GP referring you to a gynaecologist? That should be the next step and you should chase it up. The advice on the scan image says 'Urgent' so you need a referral to a gynaecologist.
I'm sorry you're so worried, but best thing is to get on the phone and chase it up asap.

When was your last smear?

I'm sorry you're going through this, it could well be something benign but obviously they will want to rule out cancer.

I suspect they will have a good look at it and maybe take some biopsies to check - it should be referred under the two week wait so you should at least get seen quickly. Do make sure you chase this up if you don't hear very quickly as things do get missed and one way or the other you need to know what's going on

Try and take things one step at a time - it's easy to let your worries run away with you.

To add- agree with PP- but an experienced gynaecologist may be able to determine what it is on another ultrasound. The issue with sonographers is they are not trained or experienced in diagnosing at that level. They just record what they see.

I assume you had a transvaginal ultrasound? Was this done for abnormal bleeding?

Cant help re diagnoses but make sure you get seen urgently as that what they’ve asked for and it will rule stuff out. As always, it could be something or it could be nothing. But the shorter the time to worry, the better obv!

Im just on to say that if you get a punch biopsy so they can see what’s happening in the cells, it doesnt hurt at all. You can get it under local. You feel the jab going in to numb the area obviously, but then nothing. You can feel the stitch thread tickling but that’s it. No pain. All fine. I drove home with no issue. Later in your shoulder may be sore. (Weird I know, must be a nerve from that area to the other area) or you may feel a bit period pain-ish but nothing paracetamol won’t sort.

Hope it’s nothing and easily sorted OP. All the best.

These are the results of an abdominal scan ordered by a hospital gynaecology / menopause team following referral from another (non-gynae) consultant. Yes, it was a transvaginal ultrasound - I thought the sonographer was doing a lot of measuring (listening to all the clicking & obvious attention she was paying) but told myself not to panic because measuring images doesn’t mean she has found anything.
I have always, religiously, had smears when they were due; last was about 4 years ago and I was told no more were needed.
I’ll chase up on Monday if I’ve not heard anything by then.
Thanks for the info on the LA and the potential for a sore shoulder!!
All comments much appreciated x

It's normal for any scan to take measurements.
I'm unsure why you were told no more smears necessary when you were 54 at the time. The cut off age is 65. This is on the NHS website.
You're not overdue as it's every 5 years.

I hope you find all is ok :)

Thank you @JinglingSpringbells

I was told last year by the nurse who did my smear, that i might get called up for one more. I turn 50 in November.

Quite happy with that, as it was painful due to age-ing vagina for the first time ever. Now have estrogen pessaries lol

I've never heard that before and my consultant gynaecologist advised up to age 64/65 (even with always normal previous smears).

Stopping at 50 is contrary to what is on the NHS website.https://www.nhs.uk/tests-and-treatments/cervical-screening/when-youll-be-invited

All women and people with a cervix between the ages of 25 and 64 should go for regular cervical screening.
You'll be invited for screening every 5 years from when you're 25 to 64 years old. You'll get your first invitation a few months before you turn 25.
You may be invited more regularly if you have HPV.
If you're 65 or older, you'll only be invited if a recent test was abnormal.

If women change sexual partners/ are in a new relationship after 65 they need to keep up smears as the risks of HPV continue.

Useful to know this - but why is it inconsistent?
fyi I don’t have HPV; but if I make it to 65 I may* celebrate with an almighty orgy and hence will need testing again.

• I also may not!

Consultant wants to see me next week & arrange a “hysteroscopy in a theatre setting”. Not totally sure why, hope to find out - so hard not to catastrophise.

They are taking it seriously which is good. So often the nhs dont.

The theatre setting may be so they can knock you out right away if it gets uncomfy rather than having to reschedule another appointment. Which again means they are taking it seriously and considering your ability to manage pain.

My pal had that and it was all totally fine. She had tried without a general and it was too painful. She had to be rescheduled and it took a few weeks, during which time she worried non stop. She got a biopsy. It wasn’t cancer.

Hysteroscopies are always in a theatre (sterile) setting. Don't set too much store by that. I doubt they will use a GA because that would mean advising you not to eat beforehand and have an adult available at home for 24 hours afterwards. Ok, they may write to you with that, but they won't just go ahead on the day.

It's the only way that can discover what it is, by taking a look with the camera and a biopsy. Try not to worry.

Thank you all x

I am wondering how you’re doing? Came across this thread because I have been referred for something very similar if not the same.

That’s very lovely of you, @changedwoman123 thank you.
How are you & what’s your situation?

I saw my Gynae last week, he had a look with a speculum & saw the ultrasounds on screen. Basically he will operate in a few weeks and is confident that he can resect the fibroid via a hysteroscopy and deal with the cervical mass too; he said he would “probably shave that off” which was rather graphic but he seemed confident about it! He doesn’t think that it is cancer & will of course have the appropriate tests done to check that.
I’m reassured with his confident approach tbh, though won’t be properly happy until it’s all over & the results are in.
As if in disagreement with the approach, I’ve been bleeding randomly again today, like a light period with a few mild spasms, just cos it wants to remind me that it’s still there! Think I might give it a name to help direct my frustration in a more targeted way

My ultrasound findings described a large cervical lesion with a vascular blood supply - in addition to a number of fibroids. My bleeding is on and off - I am on Evorel Conti HRT. I am waiting now for a referral. I’m obviously terrified it’s something awful.

That’s very similar to what I’m going through. It may sound silly but please try not to stress about the lesion & fibroids if you possibly can help it, you’ll exhaust yourself & it won’t benefit those lumps at all - sorry my words are really clumsy tonight but I hope you know what I mean.
(I’m on the same HRT as you, no idea if that is relevant)
💐💐

The important thing is that they are on it. Having had an abnormal scan in July I can understand the anxiety. Are you on the 2 week wait pathway?

I was on the pathway, but due to an additional complication (nothing to do with this thread) I’m on an alternative, so the op will be slightly later.
@changedwoman123 are you on the pathway?

ETA @fluffythecatare you ok after yours? Thanks for the empathy x

Yes thanks, a biopsy came back as clear. Mine was a cervical polyp. I found the waiting for results the worst part. It’s good that it’s being operated on, have you as blood tests too.

@fluffythecat1 that’s really good news.
Just had a call from Gynae team, Consultant has pulled the op forward as he “wants it dealt with”. So my previously lessened anxiety has started all over again! Pre-op next week, surgery the week after. Ah, life is full of surprises, eh?!

No -mine needs to be reviewed by 31 October which is more than 2 weeks.

such good news your biopsy came back as clear @fluffythecat