Had Biopsy, After results They couldn't say if I had cancer or not! How is that?

[angeldear73]

Hello everyone,
I have posted on here before about my ultrasound, after that ultrasound my Dr. ordered a CT scan but insurance denied it. I also had a endometrium biopsy. When I went back to get my results of biopsy they couldn't say if I had cancer or not!  How is that?? This is what the Surgical Pathology consultation said.. I would love to hear what you lady's think of it. I have decided to pay cash and go see a oncologist for his opinion.. I have to take him my reports. And then they will make me an appointment. I am also including the vaginal ultra sound report after the pathology report.

Specimen:
Endometrial Biopsy

Microscopic Examination:
Sections show a fair sampling of functional endometrium, which is in proliferative phase, with variable edematous stroma and simple glands with pseudostratified nuclei and mitotic figures. The is focal luminal dilatation and noncomplex crowding, but no cytologic atypia.

Final Dx
Endometrial biopsy:
- Disordered proliferative phase endometrium


Okay now here is the ultrasound report..

TRANSABDOMINAL ULTRASOUND

Uterus is 9.3 cm in length x 4.3 cm transverse. The Edometrium measures appx. 1.2 cm in thickness. This should be more accurately evaluated and measured on the endovaginal images. No discrete myometrial abnormality was demonstrated on the transabdominal images.

The right ovary was normal in size. The is a cystic structure present measuring appx 2.2 cm

Left ovary not seen

ENDOVAGINAL ULTRASOUND

The endometrium measures appx. 1.1 cm in thickness. There is some heterogeneous internal echotexture. No asymmetric vascularity is seen. There is a mild heterogeneous echotexture to the myometrium and scattered vascularity., but no discrete mass is identified. The cervix has a few nabothain cysts.

The right ovary is 2.5 x2.7x2.5 cm. There is a 1.5 x1.8 x1.8 cm cyst. it has slightly thicken walls and some rim vascularity. No definite internal vascularity is seen.

Left ovary is not seen.

There is a tiny amount of free fluid within the pelvis.

IMPRESSION
1. The endometrium is 1.1 cm in thickness. It has heterogeneous internal echotexture with no discrete mass identified.
2. The myometrium is also heterogeneous in appearance without a discrete fibroid identified.
3. A 1.8 cm right ovarian cyst is slightly complex with thick walls and mild rim enhancement. No internal septations or asymmetric nodularity is seen.
4. The left ovary was not seen by either transabdominal or endovaginal imaging.


Please anything that you might be able to share would be helpful, I understand that you all are not Doctors, but you might have had something like this that you can share insight with me..

Thank you

[angeldear73]

Thanks, I do also have those issues my stomach looks like Im prego, rectal pain back pain bowel issues.. amoung many other issues.. I am setting up a appt. with a onco. Dr. I was seeing a reg OBGYN but I don't trust him or like him. He is a new Dr to me and well I would like to never see him again.

Again thank you for your reply, How are things going for you? what did they find with you? I will pray that all is going well for you and that you will be & stay cancer free.

[Angie1992]

Hello, this is a difficult question to answer, but I will tell you what I have learned from my experiences.

I had an ultrasound, a transvaginal ultrasound, and a CT scan.  My gynecologist said it was ovarian and I knew it was ovarian before then and had many symptoms such as abdominal bloating, constipation, and rectal pain.  My obgy/oncologist/surgeon would not say I had ovarian cancer for sure until after the surgery to remove the mass, which turned out to be stage IIIc ovarian cancer (and I had a hysterectomy too).

I have been told that some people will not have needle biopsy (for breast cancer) because they are afraid the cancer may be missed during the biopsy.  I have never know anyone personally to be diagnosed with ovarian cancer who hadn't had surgery, so I sorry I can't be more helpful with that.

Also, most important, your doctor needs to specialize in this area to be able to read these kinds of reports and make a diagnosis.  Who do you see?  A good obgyn/oncologist/surgeon wouldn't let you walk away without answers, I hope you can see a doctor that can help you with these answers soon.  The American Cancer Society has always helped me with questions I couldn't find the answer to.

Take care, Angie