PMB and Endometrium at 26mm
Hi Everyone,
My mom, age 65, experienced PMB about 3 weeks ago. I immediately got her scheduled to see the gyno and her ultrasound came back showing her endometrium measuing 26mm! She is scheduled for a D&C in 2 weeks. She had a D&C done almost 6 years ago for PMB when they found a polyp in her uterus, removed it, and the biopsy came back clean with no signs of endometium hyperplasia or maligancy. Her pap smear is normal as well. I keep telling myself that if her biopsy from a few years back showed typical growth then its very unlikely to be cancer. I know I shouldn't assume or do too much online reading. But I am just worried out of my mind right now. I keep a positive and strong face for her but she is already thinking she has cancer and she won't be around for long.
Would anyone here mind sharing their experience with this?
Thanks for letting me share here…
Comments
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hello joanzhang,
PMB (post menopausal bleeding for anyone else who didn't know that - I didn't and had to look it up) is usually a sign of issues, so good for the both of you to get in and get it checked out right away.
The D&C is going to be the best way to figure out if anything is going on, the pap is not a reliable test for uterine/endometrial cancer, and once that is done you will know more. It is also the first step in the process of determining is going on, and while it is hard, try to take a breath and encourage her to as well.
I know it is easy to get overwhelmed and ahead of yourself, but the tests are the best thing here. And good for you to avoid Dr Google since it is easy to go down a rabbit hole quickly.
Please let us know how it all goes and what the results are. This board can be quiet but there are people here who watch and will chime in with support when we know more. Hugs to you both.
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I am also 65 and have a similar story. I first experienced PMB a few years ago, polyp was removed and no sign of cancer. Then I experienced PMB again in June 2024. Unfortunately it came back as cancer and I was diagnosed with Endometrial Cancer. I have since undergone chemo and a full hysterectomy. I want to encourage you however…. Chemo treatment is no longer the monster it used to be. You can now work with your onco to make it as bearable as possible. And there are solutions to the various side effects.
I pray for a clear diagnosis this 2nd time around and wish your mom the very best. Sending positive thoughts 🙏🏾💞
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I do have a few general question for the board. I'm starting to worry my mom has symptoms for more aggresive endometrial cancer. A few month ago she had a very strong vaginal odor (no discharge) that her gyno dismissed as an infection. She also have a new lower pelvic pain that was dismissed because she has chronic back pain. She is older and obese. Now with the repeat PMB, extremely thick endometrium, and her past history of polyps, she seems to tick all the boxes. We're going to keep the D&C since its next Monday, but it will be 2 weeks before results are in and then schedule the hysteroctomy from there. She may not have a final diagnois for months. I read that in more symptomatic cases even if they dont find cancer on the D&C, a hysteroctomy is recommended. Sometimes cancer can only be found after the hysterocomy.. If that's the case, should I push for a diagnostic hysteroctomy now so we dont continue to delay diagnosis? I asked this before but her gyno (who is only 2 years out of residency) said if they do find cancer then an oncologist would do the procedure and may remove more. I'm in the US but the wait time for appointments is horrendous. Her gyno also only does robotic/DaVinci assisted hysteroctomy, which I read could miss issues due to the small field of view. What I'm considering now is this: Should I call a cancer center now and schedule a consultation for her with a gyno? I'm hoping this will at least shorten appointment/wait times. I know she can't see oncologist as she's not diagnosed. I feel like this can get us a second opinion and if its cancer after D&C shortern her wait time with the oncologist.
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Let me see if I can help you with some of your questions. Goodness knows, this is an education we have had to learn and understanding, and better to have us to ask vs trying to 'find' on your own. I will work through your message and hope it helps.
The only way they will be able to tell if she has or what kind of cancer is by testing. The D&C is the first step and that can be done by a gynecologist. She is not diagnosed with cancer, and this procedure is safely done by the gyn. Smell is not a symptom of cancer, although I have read about dogs that can detect it, but that has been a long time ago. Being overweight has been determined to be a contributing factor to cancer development but that is not an absolute.
If after the D&C cancer is detected she should be turned over to a gynecologic oncologist for her hysterectomy. This is NOT for a gyn to do. Period. Please insist on this if cancer is found. However, keep in mind that their may be additional tests if she proceeds to a hysterectomy. X-rays, CTs, etc…that is very standard, prior to any surgery.
As for the DiVinci, there is no evidence that they do not get all the cancer. The robotic surgery removes the entire uterus vaginally in tact.
Since she has not been diagnosed with cancer, a cancer center probably will not help her. I think you will find both the D&C and any surgery results do not take months. I would say at the most a 10 days to 2 weeks is more typical.
I know it is terrifying, try to take a breath. You are doing a great job with questions and researching. As you can see, and we will all share, waiting is really the hardest part of this. Hugs dear.
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