Question on post D&C operative report

C_Texas

Hello all,

39, premenopausal. After more than a year with increasingly heavy (but regular) menstrual bleeding and anemia, in late 2023 I found an OBGYN clinic that could see me several months earlier than my regular OBGYN.  On my first visit, I had a pelvic exam and PAP smear, which found a slightly enlarged uterus and good pap results. I was then scheduled for a TVUS which noted a 22 mm endometrium and a solid area noted as having a feeder vessel consist with a polyp measuring about 3 cm. I was referred to the OBGYN (all other visits were with a nurse practitioner) who scheduled a hysteroscopy with polpectomy and d&c, which I completed on 2/21/2024 under general anesthesia. 

My confusion is to the post operative report that stated no polyp was found but that there was polypoid endometrial tissue thickening the lining. A sample was sent to pathology and I am awaiting a post op appointment in March. Has anyone else experienced something similar? Thank you in advance and for all of the care and support that’s offered here. 

Forherself

I looked up what polypoid means and this is the definition. polypoid adjective

Like a polyp; having the nature of a polyp, but lacking the tentacles or other parts. Resembling a polypus in appearance; having a character like that of a polypus. Resembling a polyp.

Seems like a slight difference. Pathologists are very highly trained though, and to them there is a difference.

C_Texas

https://csn.cancer.org/discussion/comment/1713544#Comment_1713544

Thank you for looking up the definition Forherself! I haven’t received the pathology yet, and I know I will have more answers at my follow up with the OBGYN. I will see him with the results one day after my upcoming 40th birthday.

Wishing you the best!

R/

Cass

Forherself

You are welcome. We are here for you. Chances are good there will be no cancer. They might recommend a hysterectomy though. Then you won't have to worry about endometrial cancer again. Good luck

C_Texas

That’s my hope too. My mother was diagnosed with EC at the age of 42 after a routine hysterectomy to remove a large ovarian cyst and to solve her heavy bleeding issues. My OBGYN said that hysterectomy would come next if the D&C doesn’t solve my HMB. I will follow up here once I get the results, since reading other women’s stories and concerns have helped me through this.

Forherself

Do make sure the doctor knows your mother had endometrial cancer. You can ask for a second opinion if this OBGYN doesn't recommend a hysterectomy. We have all found we have to advocate for ourselves.