Hyterectomy -Post surgical treatment

HISTOPATHOLOGY AND CYSTOLOGY REPORT
NAME : Mrs. Akhila Jagannathan         Age : 52 yrs,

SPECIMEN :  1.  Uterus, Right and Left Ovaries and both tubes
                       2.  Omentum
                       3.  Peritoneal fluid
GROSS:        1.  Received a specimen of total hysterectomy with both ovaries and tubes.  The uterus is                                                                                      7x5x4 cms.  Cervix is unremarkable.  Endometrium is smooth.  Myometrium is 2 cms and reveals an intramural 1.5 x 1.5 cms, well localized mass.  The ovaries measure 2 x 1 x1 cms and each tube measures 1.55 cms in length.    
                   2.  Received 10 x8 x5 cms long segment of fibrofatty tissue.
                   3.  Also received 5ml of blood stained peritoneal fluid.

MICROSCOPIC :
1. Sections reveal fragments from both ecto and endo cervix.  Ecto cervix shows no dysplasia.  Endo cervix shows foci of papillary endocervicitis, a few cystic glands and inflammatory cells.  Multiple sections from the endometirum show complex glands, closely packed, enlarged and with foci of papillary infoldings and budding.  The lining neoplastic cells show marked enlargement, nuclear pleomorphism, prominent nucleli and psedo stratification.  Areas of necrocis seen.  Myometrial invasion is not seen.  Sections from the intramural mass shows features of leiomyoma,  both the overies reveal corpora albicantia.  The tubes do not reveal any abnormality.
2. Sections from the omentum reveal congested fibtofatty tissue.  There are no tumour deposits.
3. Peritoneal aspirate is cellular.  Numerous poorly preserved rbc’s and mesothelical cells seen.  There are no abnormal cells.
DIAGNOSIS:
1. CERVIX – cronic (chronic) cervicitis.
2. ENDOMETRIUM – Endometroid Adenocarcinoma – Grade I – FIGO Stage 1A
3. MYOMETRIUM – Leiomyoma
4. RIGHT AND LEFT OVARIES AND BOTH TUBES – No significant pathology
5. OEMTUM – Congestion
6. PEROTONEAL ASPIRATE – No significant Cytological abnormality seen.

[Erich T Wyckoff, MD]

Hello shirish315,
I am not a Gyn-onclogist and therfore not an expert on endomtrial cancer. It appears that at the time of your hysterectomy cancer staging was performed. You make no mention of lymph node biopsy being performed in which is often an important factor when staging endometrial cancer. Your pathology was remarkable for Endometriod Adenocarcinoma (endometrial cancer) Please f/u with your gynecologist for recommended tx options. Best wishes

[shirish315]

Sir,
The above was post surgical biopsy report. Would like to know if any treatment necessary.

[Schmoomunitions]

Well Endometriod Adenocarcinoma is cancer,  hopefully she is going to have a hysterectomy?