Endometrial biopsy

momomom

I am just curious if anyone's endometrial biopsy missed cancer. If so, how did you find out about the cancer?

Forherself

My biopsy. found the cancer, and it was the only cancer in my uterus, or anywhere. From studies I have read it is possible to miss a cancer at biopsy, but highly unlikely. Did you have a biopsy?

momomom

https://csn.cancer.org/discussion/comment/1713308#Comment_1713308

Yes I did. Luckily it came back not cancer. That's all I know and am being referred to a gynaecologist. But I am glad that it is highly unlikely it can be missed.

NoTimeForCancer

momomom, did your general practioner do your biopsy?

momomom

https://csn.cancer.org/discussion/comment/1713339#Comment_1713339

Yes.

Dana1978

My biopsy complex hyperplasia without atypia. So, a D&C was done. That showed complex atypical hyperplasia. So, I went ahead with the hysterectomy. I was 35 and already had three kids. The final pathology showed my cancer. It had not entered the myometrium or went near the tubes or cervix, so I was good to go with no treatment besides the surgery.

momomom

https://csn.cancer.org/discussion/comment/1713477#Comment_1713477

Thank you for the reply. So because of the hyperplasia they did the D&C? I'm not sure what exactly my biopsy came back as. I am waiting on a referral to a gynaecologist. My doctor just told me not cancer.

Forherself

My gynecologist told me I had pre cancer. So I was referred to a gynecological oncologist. They are surgeons who also treat cancer. The pathologists at the University looked at my biopsies and changed the diagnosis to serous endometrial intraepithelial carcinoma. I asked why the diagnosis changed and the doctor said my initial diagnosis was done by "community pathologists".

Apparently there are also gynecological pathologists. But after surgery there was no further cancer found. It is more complicated than we realize. I am glad your family doctor has referred to to a gynecologist. There are some pre cancer mutations that might require a more in depth look.

Dana1978

https://csn.cancer.org/discussion/comment/1713478#Comment_1713478

Yes. A biopsy only gets that tiny spot. D&C is obviously going to get more of a sample. At that time doc still felt like there was maybe just a polyp causing the issues.