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What Does My Biopsy Test Report Indicate?

Posted on Sat, 14 Feb 2015

Question: Endometrial lining 17 mm but i had biopsy 3 years ago that was normal. I am 52 with weird bleeding. What are chances of it being cancer?

Answered by Dr. Aarti Abraham (1 hour later)

Brief Answer:
Risk of cancer depends on type of endometrial hyperplasia ( based on biopsy

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Frankly speaking, the risk of endometrial cancer can only be assessed after a biopsy of the endometrial lining.
17 mm is quite a thick lining, but just the number itself cannot give an idea of the risk of cancer.
It needs to be biopsied.
Endometrial hyperplasia ( thickening of the lining of the uterus ) is of various histological types, each with a distinct risk of cancer.
So once the sample reaches the lab, and you have a biopsy report in hand, only then would you know your odds.
In general, the following factors heighten risks of cancer - obesity, diabetes, smoking, hypertension, ominous family or past history of cancers etc.
Please revert with the report once you get it done.
All the best
Please feel free to discuss further.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (2 minutes later)

But biopsy was clear three years ago. No hyperplasia. It can turn into hyperplasia then cancer that quickly?

Answered by Dr. Aarti Abraham (5 minutes later)

Brief Answer:
Why was a biopsy done ?

Detailed Answer:
WHy did you have a biopsy 3 years back ?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (0 minute later)

Weird bleeding.

Answered by Dr. Aarti Abraham (2 minutes later)

Brief Answer:
Was the lining thickened at that time ?

Detailed Answer:
Did the ultrasound scan at that time show a thickened lining ?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (0 minute later)

It was 8mm then

Answered by Dr. Aarti Abraham (32 minutes later)

Brief Answer:
Were you menopausal ?

Detailed Answer:
Were you menopausal at that time ?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (6 minutes later)

Answered by Dr. Aarti Abraham (4 minutes later)

Brief Answer:
And now ?

Detailed Answer:
Are you menopausal now ?

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Aarti Abraham (1 minute later)

I dont know. I would say perimenopausal. Numbers are high but test was done after i skipped apmth of bleeding. I still bleed

Answered by Dr. Aarti Abraham (10 minutes later)

Brief Answer:
Clarified.

Detailed Answer:
Okay , here goes.
Thank you for all the updates.
For post menopausal women, 17 mm is way too high.
For menstruating and peri menopausal women, it is less ominous .
Particularly around peri menopause, there are hormonal fluctuations that can actually lead to endometrial hyperplasia, it is quite common.
ANd yes, in 3 years, that is a good enough period for endometrial hyperplasia to develop even though you had a clear biopsy 3 years back.
Regarding cancer, that is not very likely since you say you are peri menpausal, I think the biopsy would come back as simple endometrial hyperplasia or a polyp, which is not likely to be cancerous.
Take care.
You can reach me directly anytime using the following link -
http://doctor.healthcaremagic.com/doctors/dr-aarti-abraham/64623

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar