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What Does The LAVH Report Suggest?

Posted on Fri, 21 Nov 2014

Question: 63 yrs old, G3 P2. I recently had a LAVH. A LAVH only; no lymph node dissection or washings.
Path report was read and Level 2 hospital then forwarded to University of Iowa. I'll only copy the abnormal parts:
Cervix: mild chronic inflammation
endometetrium: Atypical proliferation (stripe was only 2mm on US)
Mymetrium: Leiomyomas with atypical parivascular cells, and extensive adenomyosis
Left Ovary: focal serous papillary proliferation with calcifictions including psammoma bodies; no definite stromal invasion identified

I was most concerned about ovarian cancer but today my OB called with the results:
Endometrial cancer: Stage 1a/Grade 2

What say you? Can you acurately stage endometrial cancer with lymph node disection and washings. I am being told a LAVH is treatment and only treatment needed....again what say you

Answered by Dr. Dr. Soumen Patra (53 minutes later)

Brief Answer:
Stage 1A - No lymph node dissection.

Detailed Answer:
Hello,

Thanks for writing to us.

Endometrial cancer Stage 1A means tumor is confined to the uterus with less than half myometrial invasion.

At this stage, lymph node DOESN'T involve and LAVH is the ONLY treatment without further lymph dissection.

Lymph node is usually involved in Stage 3C of endometrial cancer. In that case, lymph node dissection and washing MUST be required.

Hope, it helps for your information. Kindly, close the discussion if you don't have any other query.

Wish your good health and take care yourself.

Regards,
Dr S Patra

For future query, you can directly approach me through

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=63326

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Soumen Patra (27 minutes later)

So I understand the 1a Stage but what about the Grade 2. What does that mean and would involve more treatment.

Thanks so much.

Answered by Dr. Dr. Soumen Patra (4 hours later)

Brief Answer:
Same treatment.

Detailed Answer:
Hello,

Thanks for follow up query.

The grade of the cancer refers to the appearance of the cells in the tumor and gives an idea of how aggressive the cancer is.

Grade 1 cancers are made up mostly of normal-looking cells.

Grade 2 cancers have more abnormal-looking cells.

Grade 3 cancer cells have a higher percentage of abnormal-looking cells.

Treatment option is same as above. Don't be worried much. You have gotten right treatment.

Hope, I have answered your query. Kindly, close the discussion.

All the best and good luck.

Regards,
Dr S Patra

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. Bhagyalaxmi Nalaparaju