Re: ENDOCERVICITIS AND ADENOCARCINOMA
From: anonymous (anonymous@obgyn.net)
Thu Aug 30 01:01:56 2007
check this out
progesterone might help instead! but she needs the right oncologist
''Patient Conceives
Despite Uterine Cancer''
''HOPE FOR A BABY, DESPITE CANCER''
http://www.saintbarnabas.com/hospitals/saint_barnabas/newsletter/family_health/winter2006/conceives.html
Division of Gynecologic Oncology Awarded Membership into Prestigious
National Cancer Group
http://www.saintbarnabas.com/hospitals/obgyn/resource/newsletter/winter00.html
At Wed, 29 Aug 2007, anna wrote:
>
>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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