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Endometrial thickness is high
Hi. My mother observed blood stains and slight stomach ache a couple weeks ago post menopause and visited a gynaecologist. The doc suggested Pap smear test, ultrasound and pipelle biopsy as the endometrial thickening was high. The observation was fibroid uterus, thickened endometrium with bulky ovary. The results from Pap Smear test says "Intraepithelial lesion or malignancy: Negative", "Infection: Absent", "Reactive cellular changes:Absent" and "Many parabasal cells are seen indicating atrophic change". Serum CA 125 (ECLIA) is 8.2 u/ml. We are waiting for biopsy results.
Based on these details, is it possible to confirm if there is anything to be concerned? Are there any chances of endometrial cancer? What is the best approach to treat this?
Answers (4)
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I would like to review the ultrasound report and correlate it with above pap smear report and biopsy report as well
As you r speaking of endometrium, pap smear is not a very representative test so would like to wait for biopsy report.
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If endometrial thickness is high, one has to undergo D&C for endometrium to rule out malignancy
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Dr. Preeti Vijayakumaran
Oncologist
11 yrs exp
Gurgaon
Hi. Any lady developing postmenopausal bleeding should be evaluated thoroughly to rule out endometrial cancer. Thickened endometrium should be evaluated with a biopsy. Since it's already done, wait for the report, and then we can decide on the following line of action.
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Dr. Savio James
Radiation Oncologist
8 yrs exp
Cochin
Please share ultra sound report and biopsy report when available .
No ,so far the reports are not suggesting of anything concerning . But for a patient with symptoms Pap smear is not that good a conclusive test , ,so wait for your ultra sound report and biopsy report.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.