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Hysteroscopy and D & C Pathology ReportFrom: Elizabeth (anonymous@obgyn.net)Mon, 30 Apr 2001 22:10:53 -0500
I had a D & C and hysteroscopy recently, following very light uterine bleeding which seemed unassociated with monthly hormonal changes. I have had 2 pelvic ultrasounds in past 2 years and 2 uterine biopsies in the doctors office. The ultrasounds showed thickening of the uterine lining, but the biopsies were both negative, as was my recent pap smear. The report says: Weakly proliferative endometrium with stromal breakdown and focal atypia. See Note. Endocervical tissue with focal squamous metaplasia. T84000, M79310, M69710,T83300,M73221 NOTE: An area of the endometrium 2.5 mm in greatest dimension has a growth pattern and cytology suggestive of a low-grade villoglandular neoplasm. However, due tot he lack of cytologic atypia and mitoses, this simply may represent a focus of hyperplasia. Clinical followup may be useful in clarifying its nature. What does this mean? The surgeon did not really explain, just recommended removal of ovaries, uterus, and cervix soon. It's a bit of a shock. I am 50 years old, no family history of cancer, except after age 80 in two male relatives. Are there alternative therapies? What clinical follow-up to clarify the nature of the disease would you recommend? How quickly should I go for surgery, if that's the right answer? I did have colposcopy 16 years ago for cervical displasia, and regular, normal pap smears since. Abnormal bleeding between periods has been going on for a number of years, but didn't seem serious. It was corrected with hormone treatments 3 and 5 years ago. I am single and have a young child and want to remain in good health. Thank you for your answers.
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