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Re: ENDOCERVICITIS AND ADENOCARCINOMAFrom: anna (anonymous@obgyn.net)Wed Aug 29 23:41:20 2007
At Sat, 2 Mar 2002, Leena wrote: > >Hello Doctor, > >My friend was recently diagnosed with adenocarcinoma endometrium. She >is a newly wed who is only 31 years old and has no kids yet. For many >years she was suffering with heavy bleeding and severe pain during her >period. Recently her gynacologist did a D&C on her and when the results >came she was diagnosed with adenocarcinoma endometrium cancer. The >final pathologist's report says "The Specimen sent as 'EA' shows >features of well differentiated adenocarcinoma with squamous metaplasia >and foci of atypical hyperplasia. 'ECC' shows Chronic endocervicitis." >Her cancer is in Stage I. > >A group of Gynacologists that is currently treating her suggested that >since she is young they are going to take a chance for a month by >treating her with reverse hormonal therapy with Provera >(Medroxyprogesterone acetate) 10mg to be taken 3 times a day. After a >month they are going to do another biopsy on her to see whether the >cancer cells have shrunk. If not, they will be doing a total abdominal >hysterectomy (uterus, ovaries, and fallopian tubes to be removed). > >My questions are as follows: > >1. Even if this particular treatment appears to respond by shrinking >the cancer cells and thus they decide not to do the hysterectomy right >away, won't she have to keep taking the Provera? She and her husband >would like to try for a baby before they do the hysterectomy but I >recently read in an article that Provera is a contraceptive and if that >is true won't there be a problem for her to conceive? Will that be too >much of a risk for her to wait at least a year to have a baby or is it >safer for her to immediately remove the uterus due to the adenocarcinoma >endometrium? > >2.The report also shows that she has chronic endocervicitis, was this >caused by the adenocarcinoma or was there another cause such as STD? >Does she need to be treated specifically for this? Does her husband need >treatment for this too since I read somewhere that this is contagious >and if left untreated it might cause other complications? If >endocervicitis was not caused by STD, and is caused by adenocarcinoma >then does that mean that this was still caused by the same bacteria >(chlamydia trachomatis)? If so then does she and her husband still need >treatment for this? > >Kindly provide me with your valuable opinion and suggestions with >regards to this matter. > >Thanks and I greatly appreciate your advise and help. > >-- >Leena >
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