Endometrial thickness is high

2023-12-21 12:22:00
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?
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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.

Answered2023-12-29 00:44:36

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Hi   If endometrial thickness is high,  one has to undergo D&C for endometrium to rule out malignancy

Answered2023-12-21 12:26:45

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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.

Answered2023-12-26 16:31:19

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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.

Answered2023-12-21 14:54:35

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