← Return to Uterine biopsy not enough tissue extracted: Now What?

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@naturegirl5

@tclare15 This is very puzzling. Personally I would be very unhappy about those pathology results that indicate there wasn't enough tissue to actually test. My partner is a pathologist and I know what he would say in this case as he gets really annoyed when physicians do not do adequate biopsies. In addition the radiologist who read your ultrasound made that recommendation because I'm presuming they could not rule out cancer given the ultrasound.

When I had postmenopausal spotting I first had an ultrasound that showed a thickened uterine lining. My gynecologist went right to hysteroscopy and dilation and curetage (D&C). In retrospect I'm glad he did that as then there was plenty of tissue to test in pathology. I was diagnosed with endometroid adenocarcinoma, FIGO Grade 1. I'm not suggesting that this is what you have but only that without enough tissue to test on biopsy you have inconclusive results. Would you want to consult a different gynecologist? Is that a possibility? If it were me I would not want to wait until or if there are more symptoms such as spotting.

What are you thinking you will do?

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Replies to "@tclare15 This is very puzzling. Personally I would be very unhappy about those pathology results that..."

I am definitely going to seek care elsewhere. I fortunately live near two very good university hospitals in the San Francisco Bay Area, and will seek further followup at Stanford as soon as their new patient office opens in the morning at the Gynecology clinic. Hopefully, I'll be able to get some answers and help there. I'm just pretty frustrated with how this was all handled, and know that I need to be pretty pro-active about getting what I believe I need. I just hope that if a hysteroscopy and D& C is the next step, there will be enough tissue left over to test. that is my worry at this point. At my age, if there is any abnormality/pre-cancer noted, it would be my choice to get a hysterectomy. But, I know that is not a simple care-free procedure and I definitely need some good guidance.