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Hysterectomy

From: Robin (anonymous@obgyn.net)
Wed, 20 Sep 2000 13:40:14 -0500 (CDT)


Hi, I am 36. I had my tubal ligation reversed this Feb. We were hoping for more children. Last week we had a lyprascopy and hsyroscopy with D&C. To clean up scar tissue and check blockage in one tube.

They instead found from the D & C the following. My Doctor is recommend a hysterectomy. I am wondering if this is the right thing to do. Here is my Pathology report.

Note: A pap smear done less then 3 months ago was normal.

Endometrium, Curettage: A. Fragments of Severe endocervical glandular dysplasia with associated moderate to sever squamous metaplastic dysplasia.

Microscopic Description: The majority of the specimen consists of fragments of apparent lower uterine segment and inactive appearing endometrium. There is one segment of the specimen remarkable for both glandular and squamous dysplasia. There is a pattern of squamous metaplastic dysplasiaa, moderate to severe in degree. The adjacent glands reveal an apparent endocervical glandular dysplasia. Focally these atypical glandular changes approach the diagnosis of adenocarcinoma in situ. Invasive carcinoma is not identified in the material.

Thanks, Robin Moore




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