WOMENS-HEALTH Messages for June, 2002: Re: post: Questions about hysterectomy/cancer

Re: post: Questions about hysterectomy/cancer

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 29 Jun 2002 19:15:15 -0500 (CDT)

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In reply to: Lori: "Repost: Questions about hysterectomy/cancer"

At Sat, 29 Jun 2002, Lori wrote: >
>I’m 36, had 7 normal pregnancies with vaginal deliveries, no health
>problems except for overweight (about 50 pounds now). Over the last 2
>months, my uterus has enlarged to the point that I look 5 months
>pregnant. I’ve had nausea and dizziness around the start of my period
>for several months. My periods are heavy (saturating a super plus
>tampon in an hour), dark purple with many large clots. I’ve always had
>bad cramps with my periods. I’ve gained 20 pounds in 2 months. I’ve
>been constipated and having narrow(index finger size) stools for about a
>week. I saw an ob-gyn last week,and had a PAP(my first in 6 years).She
>did a CBC, a TSH, and a serum HCG, all were normal. The PAP results
>haven’t come back yet. I also had an intra-vaginal ultrasound, which
>showed polycystic ovaries, an enlarged uterus(approx. 11 x 6.5 x 7.5
>and 240 gms) with a thick lining. Also something that “might” be
>fibroids, or adenomyosis. I had an endometrial biopsy today. My doc
>recommends a hysterectomy ASAP(mostly because of the possibility that
>this occurred so rapidly), despite the results of the biopsy. She is
>concerned that there may be other cancer that the biopsy wouldn’t
>detect. Time off work would be a major financial burden right now, and
>if the biopsy is negative, it would be more possible in 3 or 4 months .
>If I have a neg. biopsy, is there really any urgency to have the
>surgery immediately? Is someone my age with my history really at that
>great a risk of uterine cancer? What else could be causing these
>symptoms? And given the size of my uterus on ultrasound, does that
>account for my abdomen being so large?
>
>--
>Thanks for your time,
>Lori
>

Lori

EMB will rule out endometrial cancer, but not something like sarcoma, or uterine muscle tumor. You should talk to doc as he/she is examining you and knows you with all tests, etc as far as if you can wait several months.

--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
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.

Next message: William F. von Almen, II, MD, FACOG: "Re: uteral fibroid"
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In reply to: Lori: "Repost: Questions about hysterectomy/cancer"

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