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Re: BiopsyFrom: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)Mon, 11 Dec 2000 07:24:16 -0600 (CST)
At Sun, 10 Dec 2000, Tina wrote: > >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 > Tina Yes, pap can be done at same time. Usually biopsy is back within a week. Pap can be longer depending on the lab as they are all backed up with paps. I would say you could schedule within a month. good luck
-- William F. von Almen, II, MD, FACOG Editorial Advisor-Pregnancy and Birth Private Practice New Orleans, La.
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