May 08, 2009 - 11:34 pm
First thing I have to know is who has had a D & C and do you have a copy of the pathology report? Here is why I ask: My D & C pathology shows specimens of endometrial curettings and endocervical curettings...yet my doc said I dont have dysplasia in my uterus, only in my endocervix, that he didnt take samples from my uterus. Isnt that what a D&C is? Scraping of the endometrium in the uterus? Can someone please compare the specimen portions and tell me if they are the same as on their D&C?
My pathology report states diagnosis as follows(in short):
1.Endocervical curettings: numerous strips of squamous epithelium with high grade dysplasia
Am I crazy, did my doc tell me he did a D&C when in fact he did an EEC? Or does this look like he did in fact do a D&C? I also asked him if he mapped it, and he said he just took random samples, he didnt see anything specific (WHAT??) How will he know where to look & how much to take for the next biopsy? What the heck did he do the hysteroscopy for if he wasnt taking samples from the uterus?
This is not making sense to me & I really need your help on this one ladies.
As for my update: 5 weeks post thermal ablation, hysteroscopy, D&C, adhesiolysis, + laparoscopy... I finally spoke with him about "alot going on in there". He told me with the the pathology reporting endocervical gland involvement, it's indeed higher cause for concern (higher level of severity) that there are underlying issues, possibly cervical cancer. He said it is higher up in the canal. He said CIN3 is not CIS, and wants to schedule me for a laser cone to treat/diagnose. He told me the day of my surgery I had a prolapsed uterus & cervix, yet recanted that fact today. (again WHAT???) He also said I had adhesions that would need major surgery, they are adhering my bladder to my abdominal wall, and he wouldnt do it for risk of putting a hole in my bladder. He was very brief in answering my questions (gave me 20 minutes of his time), told me I didnt need a gyn/onc yet, and even if it is invasive we have to see how bad it is first. Even after I told him I didnt know lack of appetite, weight loss, & hair falling out were related, and I was experiencing them, he said nothing!He also said I am not a candidate for hysterectomy, that I have to have the cone first.
Does this whole visit seem fishy to anyone else besides me? I feel like I'm dealing with a doc only in it for the $$, not for my well being. I've read other posts elsewhere that the glandular involvement in itself was enough for a referral to a gyn/onc.
Something is not sitting right with me. I'm worried that he didnt quite rule out uterine cancer (he only did 1 endo biopsy) & did the thermal ablation, making further biopsy of the endometrium difficult due to scar tissue. I would really appreciate your insight.
This is turning out to be such a mess. :/