--
Hope Waltman's reply: Dr. William Parker, “A GYNECOLOGIST SECOND
OPINION” – book. Page 317.
"Should you consider a second opinion for the pathology results of an
endometrial biopsy or D&C?
The interpretation of abnormal cells under the microscope is not an
exact science, and differences of opinion among pathologists can exist.
Pathologists often have areas of expertise, and it is reasonable,
especially if there is any question about the findings from a D&C, to
have a second opinion from a pathologist experienced in gyn pathology.
In fact, one study found that 60 percent of biopsies originally thought
to represent hyperplasia were normal when reviewed by an expert
pathologist. Only 3 percent of these biopsies were found to represent
cancer. This is something you might discuss with your dr.
To get a second opinion, the original glass slides prepared by your dr.
lab can be sent to the 2nd lab, and no new tests or biopsies need to be
done. If a diagnosis is not clear, I may rely on a specialty
pathologist nearby or, sometimes, will even send slides to pathologists
in another area of the country for a second opinion."
Regards, Hope Waltman, WH Forum Moderator
http://www.hopeforfibroids.org
http://www.doctorsinfoweb.com/doctors.htm
>Robin
>You are doing everything right.I do recommend a second opinion.You need
>to make a list of what is concerning you and what questions you
>have.Bring that list with you to your doctor.Bring copies of your lab
>tests to your appointment.Our lab only tests for the High Risk types of
>HPV.The low risk types are not even tested.As a Nurse Practitioner ,if
>you were my patient, I would send you for a second opinion.Sometimes ,if
>you had biopsies they can even be re read by a different lab before you
>decide.Some will be mad at me for suggesting that because there could be
>differences of opinion.
>To test your endocervical canal ,a test called an endocervical curretage
>or LEEP or Cone biopsy are some tests,often also treatments to ask
>about.However, that can be dealt with if and when it occurs.You are in
>great hands .A GYN ONC MD consult does not mean you have cancer.They can
>also help you to be treated before you have that condition.Please let us
>know how your second opinion goes.JoAnn NP
>Jo Ann NP >Scottsdale, Arizona
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