WOMENS-HEALTH Messages for December, 2000: Re: Biopsy

Re: Biopsy

From: Tina (anonymous@obgyn.net)
Sun, 10 Dec 2000 23:39:38 -0600 (CST)

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Reply: William F. von Almen, II, MD, FACOG: "Re: Biopsy"

At Sun, 10 Dec 2000, William F. von Almen, II, MD, FACOG wrote: >
>At Sun, 10 Dec 2000, Tina wrote:
>>
>>I went to my ob/gyn on this past Friday to determine if a hysterectomy
>>can be done. During the pelvic exam, which I might add hurt like hell,
>>he said and I quote, "yep it is big".
>>
>>He and I, along with my primary physician had already determined that a
>>hysterectomy was warrented due to severe pelvic pain and an enlarged
>>uterus, as of 10/23/00 was 10.6 x 4.9 x 5.9 cm and deemed a fibroid
>>uterus. Since he said the above statement I am assuming that it has
>>grown signaficatly in the past 2 months. I look like I am 5 months
>>pregnant.
>>
>>He also mentioned that he wants to do a biopsy? I asked if that meant a
>>pap smear and he said yes. Now this was the second ob/gyn I have gone
>>to in the last month. The first one, I couldn't even tell he was doing
>>a pelvic exam, meaning I don't think he did one, and he said the problem
>>wasn't from my uterus and it must be my hip/pelvic bones causing the
>>pelvic pain. I was then sent to an orthopedic surgeon who requested an
>>MRI of my lower spine and pelvis both which were normal. That ob/gyn
>>did a pap smear but all I have gotten is a verbal NORMAL, my doctor's
>>office was supposed to get a report of the office visit along with the
>>test results, but have not received them even after several phone calls,
>>and it has been almost a month. I told this to my new ob/gyn and he
>>said that he cannot take a verbal result to heart and wants to do
>>another test.
>>Mainly to determine if there is cervical cancer and to determine the
>>type of hysterectomy he does.
>>
>>Here is my question:
>>Does this mean another Pap smear? I have always gotten my yearly pap
>>smears like clockwork and they have always come back normal. If so, and
>>this one comes back normal what are my surgical options? I asked his
>>staff which types of hysterectomies he does and they said TVH TAH and
>>LAVH.
>>
>>Please advise
>>
>>--
>>Tina
>>
>Tina
>
>I suspect he means an endometrial biopsy. A small instrument is placed
>into the uterus and some tissue is sucked into it. This is then
>evaluated and may help decide what type of hyst is done. Hope this
>helps.
>
>>>Okay,

Assuming that an endometrial biopsy is needed, how long before they can get the hysterectomy scheduled. And can a pap smear give the same results when testing to see if there is cervical cancer present? Because that is what he said he wants to make sure of.

Thanks >--
>William F. von Almen, II, MD, FACOG
>Editorial Advisor-Pregnancy and Birth
>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.
>

--
Tina

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Previous message: Linda: "Re: OK to take Midrin within 10 day pre-op period?"
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