It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Cancer: Uterine Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 08-03-2010, 12:15 PM   #1
Newbie
(female)
 
Join Date: Aug 2010
Posts: 4
Libi HB User
pathology report doubts post TLAVH BSO

I am 54 years old and on 18/07/10 undergone a total laparascopic Vaginal assisted hysterectomy (TLVAH) and bilateral salpingooophrectomy further to an endometrial biopsy showing endometrial complex hyperplasia with Atypia (perimenopausal bleeding)

I was told by my gynacologist that I had precancerous changes although there was a small risk that, if the pathology showed concurrent cancer at time of pathology evaluation and that the cancer had gone through more than a third of the muscle wall, I would need further surgery to remove some lymph nodes.

Meanwhile I have received results that showed Endometrium: "partially autolytic,mostly inactive and Adenomyosis." As far as I am able to understand, autolysis is a process that destroys the cells of the specimen sometimes to such an extent that interpretation pathologically can be extremely hampered and even at times impossible. I understand it is advisable therefore to ensure that the specimen is treated (I believe with formalin) in order to prevent this autolysis either by the surgeon or the laboratory.

I also note on my results there is an absence of a comment such as simple hyperplasia/ complex hyperplasia/ simple hyperplasia with atypia/ complex hyperplasia with atypia/ or cancer all of which were previously explained to me as a continuum in the changes that took me to a diagnosis of pre cancerous changes in endometrium.

I understand that the pipelle endometrial biopsy only samples a small amount (4-12%) of the endometrium and am therfore extremely anxious that this result indicates that due to autolysis it was impossible for the laboratory to determine the histopathology and now it is also impossible to determine if it was concurrent cancer or worse still invasive cancer.

Should I speak to my gynacologist about checking my lymph nodes in any case?

Many thanks
Libi

 
Sponsors Lightbulb
   
Old 08-09-2010, 08:19 AM   #2
Senior Veteran
(female)
 
Join Date: Nov 2007
Location: Needham,MA
Posts: 861
shisslak HB Usershisslak HB Usershisslak HB Usershisslak HB Usershisslak HB Usershisslak HB Usershisslak HB User
Re: pathology report doubts post TLAVH BSO

libi,

I think I would certainly asked your doctor to please explain the meaning behind the pathology report and if this gyn who performed the surgery is not a gyn oncologist, than maybe you should request a referral a gyn oncologist and pose your very valid questions to him/her.

Let me know how you do.

Brenda

 
Old 08-09-2010, 08:46 AM   #3
Newbie
(female)
 
Join Date: Aug 2010
Posts: 4
Libi HB User
Re: pathology report doubts post TLAVH BSO

Thank you for your input- My Gynacologist is away until the 24th when I have an appointment to do exactly what you suggest. Libi

 
Old 08-09-2010, 12:19 PM   #4
Senior Veteran
(female)
 
Join Date: Nov 2007
Location: Needham,MA
Posts: 861
shisslak HB Usershisslak HB Usershisslak HB Usershisslak HB Usershisslak HB Usershisslak HB Usershisslak HB User
Re: pathology report doubts post TLAVH BSO

Lili,

Good luck, I hope you get all the answers to your questions. Let me know how you do.

Brenda

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
TT two weeks ago and Pathology report... DLynnK Thyroid Disorders 4 05-28-2010 08:19 PM
When do you get the pathology results after Thyroidectomy? deirdre8256 Thyroid Disorders 4 05-17-2009 03:57 PM
LEEP pathology not good...help jenebeka Cancer: Cervical & Ovarian 13 05-22-2007 09:05 PM
Finally got my surgeons report and pathology report bananarama Digestive Disorders 18 04-30-2007 06:07 PM
Pathology after TT (again!) tygwyn Thyroid Disorders 4 11-10-2006 12:43 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added




Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Megace
Metformin
Prempro
Provera
Synthroid
  Tylenol
Valium
Vicodin
Xanax
Zoloft




TOP THANKED CONTRIBUTORS



STLouisgal (3), ces59 (3), Kali333 (3), ninamarc (3), Betska (3), ladyabby (2), shisslak (2), Sassydoll4life (2), BioAdoptMom3 (1), gingertea (1)

Site Wide Totals

teteri66 (1180), MSJayhawk (1013), Apollo123 (909), Titchou (856), janewhite1 (823), Gabriel (763), ladybud (755), midwest1 (670), sammy64 (668), BlueSkies14 (607)



All times are GMT -7. The time now is 12:36 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!