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What Does My Pathology Test Report Indicate?
Question: Hi, Dr. XXXXXXX Brown
I am a medical professional.
My mother aged 56 years was recently diagnosed with endometrial ca. Pet scan was done showing no involvement of the nodes around and no invasion into surround tissues.
Surgery was planned and successfully executed. Specimen was sent for Histopathological examination.
I have attached the report of the same here. Please go through and opine.
Also, advice on how to proceed from here into future.
Are there chances of any new or secondary ailments.Do we need to get any regular screening tests to prevent any problems.
I am a medical professional.
My mother aged 56 years was recently diagnosed with endometrial ca. Pet scan was done showing no involvement of the nodes around and no invasion into surround tissues.
Surgery was planned and successfully executed. Specimen was sent for Histopathological examination.
I have attached the report of the same here. Please go through and opine.
Also, advice on how to proceed from here into future.
Are there chances of any new or secondary ailments.Do we need to get any regular screening tests to prevent any problems.
Brief Answer:
She will likely need follow-up radiation treatment
Detailed Answer:
Hello again sir, and I apologize for the delay in reply.
I reviewed your mother's pathology report you provided. Her cancer is stage 1 however the surgeons did not actually sample any lymph nodes even though they attrmped to remove a few of them.
What that means is that most likely it will be recommended for your mother to undergo pelvic radiation as they were unable to determine if any of the cancer spread to the lymph nodes.
Screening after her radiation treatment will likely be with PAP smears and posibly a CT scan. You will need to discuss the details with her oncologist who will follow her after she recovers from her surgery.
There are no other associated ailments that she is at risk for in the future with a history of endometrial cancer, however she should receive yearly mammograms and colonoscopy at least every 10 years.
I wish your mother the best in her prognosis and I hope she recovers from her surgery quickly. If I can be of any further assistance, please let me know.
Regards,
Dr. Brown
She will likely need follow-up radiation treatment
Detailed Answer:
Hello again sir, and I apologize for the delay in reply.
I reviewed your mother's pathology report you provided. Her cancer is stage 1 however the surgeons did not actually sample any lymph nodes even though they attrmped to remove a few of them.
What that means is that most likely it will be recommended for your mother to undergo pelvic radiation as they were unable to determine if any of the cancer spread to the lymph nodes.
Screening after her radiation treatment will likely be with PAP smears and posibly a CT scan. You will need to discuss the details with her oncologist who will follow her after she recovers from her surgery.
There are no other associated ailments that she is at risk for in the future with a history of endometrial cancer, however she should receive yearly mammograms and colonoscopy at least every 10 years.
I wish your mother the best in her prognosis and I hope she recovers from her surgery quickly. If I can be of any further assistance, please let me know.
Regards,
Dr. Brown
Above answer was peer-reviewed by :
Dr. Raju A.T
Hello Dr Brown.
Thanks for your answers.
I have few more questions on the advised radiation.
1. Is Radiation Therapy a mandatory treatment, if we don't do this what is the risk involved in further tumor development?
2. If Radiation is essesntial, How soon it need to do this and how many times?
3. One of the Oncologist friend suggested for Vault Radiation 3 sittings , is this a correct action plan?
Thanks in advance.
Thanks for your answers.
I have few more questions on the advised radiation.
1. Is Radiation Therapy a mandatory treatment, if we don't do this what is the risk involved in further tumor development?
2. If Radiation is essesntial, How soon it need to do this and how many times?
3. One of the Oncologist friend suggested for Vault Radiation 3 sittings , is this a correct action plan?
Thanks in advance.
Brief Answer:
Some radiation treatment is a good idea, need an oncologist for specifics
Detailed Answer:
Hello again Doctor,
As I am a general OBGYN Doctor the specific benefits of different radiation regimens is beyond the scope of my specially. I do agree that, just in case your mother has some microscopic lymph node spread it is safest to do at least some radiation treatment. Radiation, especially to the vaginal cuff region (which is the most likely area of recurrence) does reduce recurrence risk.
Again, at this point, consulting with a medical or radiation oncologist at this point would be the best course of action to answer your further queries.
I hope my advice and information was helpful to you so far and I wish your mother the best in health,
Dr. Brown
Some radiation treatment is a good idea, need an oncologist for specifics
Detailed Answer:
Hello again Doctor,
As I am a general OBGYN Doctor the specific benefits of different radiation regimens is beyond the scope of my specially. I do agree that, just in case your mother has some microscopic lymph node spread it is safest to do at least some radiation treatment. Radiation, especially to the vaginal cuff region (which is the most likely area of recurrence) does reduce recurrence risk.
Again, at this point, consulting with a medical or radiation oncologist at this point would be the best course of action to answer your further queries.
I hope my advice and information was helpful to you so far and I wish your mother the best in health,
Dr. Brown
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. Yogesh D
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