WOMENS-HEALTH Messages for September, 2000: Re: Hysterectomy

Re: Hysterectomy

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 20 Sep 2000 16:42:28 -0500 (CDT)

Messages sorted by: [ date ][ thread ][ subject ][ author ]
Next message: Lynn D. Montgomery, MD: "Re: Don't know why I did not menstruate"
Previous message: beth: "Re: hair loss"
In reply to: Robin: "Hysterectomy"

At Wed, 20 Sep 2000, Robin wrote: >
>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

Robin, This is not good. The diagnosis of adenocarcinoma in-situ means that there are cancerous cells present, but they have not begun to invade significantly. Now, the caveat to this is the fact that endometrial cancer tends to be very slow growing and is associated with a relatively high cure rate. If you are truly driven to have another pregnancy, I would suggest sitting down with a gynecologic oncologist-specialist in gynecologic cancers, and get his opinion about the urgency of the definitive treatment. As things currently stand, a simple hysterectomy would give you a cure. The question is, would waiting until pregnancy occurs, followed by the course of the gestation change the severity of the disease enough to jeopardize your health more. It may be prudent to proceed with hysterectomy, I just hate to see you having gone through all those procedures including the tubal reversal and not get to use it. That is why I would seek the opinion of a specialist... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: Don't know why I did not menstruate"
Previous message: beth: "Re: hair loss"
In reply to: Robin: "Hysterectomy"

Women's Insurance Checklist from Auto Insurance Quote

use when must restrict search to only the women's health forum...
Enter search keywords:
	Returns per screen: Require all keywords: