PREGNANCY-BIRTH Messages for April, 2002: Re: Endometrial cancer+lactation -- is it possible? Drs. if you could respond..

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Re: Endometrial cancer+lactation -- is it possible? Drs. if you could respond..

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Fri, 12 Apr 2002 20:34:34 -0500 (CDT)

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In reply to: Linda: "Endometrial cancer+lactation -- is it possible? Drs. if you could respond.."
Next in thread: Linda: "Dr. von Almen, thank you!"
Reply: Linda: "Dr. von Almen, thank you!"

At Wed, 10 Apr 2002, Linda wrote: >
>I had my first pap test since delivery last month (10 months postpartum)
>which came back with abnormal results.
>They were abnormal endocervical epithelial cells or AGCUS.
>Since it was a thinprep pap, they immediately did an HPV test which was
>negative. I am still actively breastfeeding and have not menstruated
>yet. I have PCOS and believe I ruptured an ovarian cyst or ovulated (I
>feel crampy on one side for a couple days) a couple months ago. Two
>weeks later I spotted slightly for a day or so, but not since. It was
>roughly two weeks after that that my pap test was done.
>
>I am having a colposcopy and ECC tomorrow and believe it is probably
>endo-cervicitis. I have had cervicitis on the exterior of my cervix
>twice prior. I am nervous though that I might have endometrial cancer
>due to to my higher risk levels with PCOS and this unusual pap result
>picked it up. My OBGYN does not plan to do an endometrial biopsy
>because there are no endometrial cells present which does make some
>logical sense.
>
>Since I am actively breastfeeding, I should not be building up a
>hyperplasic endometrial lining -- is this correct?
>
>Please help!!
>
>--
>Linda
>
>--
>Linda
>

Linda

I agree with all, except I would do an EMB to be sure. The findings can be seen with breastfeeding as it has a different hormonal look to the cells than what cytologist usually sees.

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: William F. von Almen, II, MD, FACOG: "Re: Complications from an Episiotomy"
Previous message: William F. von Almen, II, MD, FACOG: "Re: Terazol 7 in the second trimester"
In reply to: Linda: "Endometrial cancer+lactation -- is it possible? Drs. if you could respond.."
Next in thread: Linda: "Dr. von Almen, thank you!"
Reply: Linda: "Dr. von Almen, thank you!"

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