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What Does The Laparoscopically Assisted Vaginal Hysterectomy Path Report Indicate?
Question: Why not.... Recently had a LAVH and am ready the path report which is complicated. Left Ovary: Focal serous papillary proliferation with calcifications including psammoma bodies, no definite stromal invasion identified. Myometrium: leiomyomas with atypical perivascular cells and extensive adenomyosis. Endometrium: atypical proliferation. I think I am most questioning the psassoma bodies? What say you......
Brief Answer:
Psammoma bodies are found in tumours
Detailed Answer:
Hi
Psammoma bodies are collection of calcium seen microscopically in certain tumours such as serous papillary adenocarcinomas of the ovary.
Since you had laparoscopically assisted vaginal hysterectomy the tumour has now been removed and you may require chemotherapy after surgery called adjuvant chemotherapy to kill the remaining cancer cells.
Regards
DR DE
Psammoma bodies are found in tumours
Detailed Answer:
Hi
Psammoma bodies are collection of calcium seen microscopically in certain tumours such as serous papillary adenocarcinomas of the ovary.
Since you had laparoscopically assisted vaginal hysterectomy the tumour has now been removed and you may require chemotherapy after surgery called adjuvant chemotherapy to kill the remaining cancer cells.
Regards
DR DE
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
So since nothing looked suspicious during my surgery they was no lymph node assessment, washings or any other tissue samplings completed. I would assume this is going to be necessary.
My original report was from a level 2 hospital pathology department and has since been forwarded to the University of Iowa for evaluation. Did you read the entire report. I was concerned about the psammoma bodies but could you give more detail regarding the information already sent. THanks
My original report was from a level 2 hospital pathology department and has since been forwarded to the University of Iowa for evaluation. Did you read the entire report. I was concerned about the psammoma bodies but could you give more detail regarding the information already sent. THanks
Brief Answer:
adenocarcinoma of the ovary
Detailed Answer:
Hi
In the inner membrane of your uterus which is called endometrium there is atypical proliferation meaning it is suspicious of cancer cells.
In the left ovary serous papillary proliferation with calcifications including psammoma bodies is present which is a feature of adenocarcinoma of the ovary. Please upload all you reports on right side of your dashboard so I could assist you better.
Regards
DR De
adenocarcinoma of the ovary
Detailed Answer:
Hi
In the inner membrane of your uterus which is called endometrium there is atypical proliferation meaning it is suspicious of cancer cells.
In the left ovary serous papillary proliferation with calcifications including psammoma bodies is present which is a feature of adenocarcinoma of the ovary. Please upload all you reports on right side of your dashboard so I could assist you better.
Regards
DR De
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
The only report I have it want a provided. It was sent to the University of Iowa for final diagnosis. The original hospital was St. Lukes in Cedar Rapids which is a respected Level 2 hospital. They didn't provide a diagnosis; again just stated the above.
Would you suggest I deal with a gyn-onc physician from this point? My original surgeon was by a respected ob-gyn and assisted by another ob-gyn that I work with and have great respect for. Should my follow-ups at a university and a gyn-oncology specialist? Should I send my slides (or whatever they sent to Iowa to Mayo as well) I live within driving distance to both the University of Iowa and Mayo clinic. Will I need to have another surgery for additional tissue collection?
For what it is worth I feel great, I am 63, G3P2, never took hormones but did have irregular periods with some infertility issues and irregular periods until I was close to menapause. Had I not been an nurse the post-menapausal bleeding I had would probably have not even been noticed except to two 1 cm spots on two different occasions.
Would you suggest I deal with a gyn-onc physician from this point? My original surgeon was by a respected ob-gyn and assisted by another ob-gyn that I work with and have great respect for. Should my follow-ups at a university and a gyn-oncology specialist? Should I send my slides (or whatever they sent to Iowa to Mayo as well) I live within driving distance to both the University of Iowa and Mayo clinic. Will I need to have another surgery for additional tissue collection?
For what it is worth I feel great, I am 63, G3P2, never took hormones but did have irregular periods with some infertility issues and irregular periods until I was close to menapause. Had I not been an nurse the post-menapausal bleeding I had would probably have not even been noticed except to two 1 cm spots on two different occasions.
Brief Answer:
Gynae Oncology
Detailed Answer:
Hi,
I would advise you to deal with gynae oncology physician from this point of time.
I will also advise you to review your slides from another place for an accurate diagnosis.
If diagnosis is still not reached then you may need another surgery for additional tissue collection.
If you have no more clarifications then please rate the answer and close the thread.
Regards
DR De
Gynae Oncology
Detailed Answer:
Hi,
I would advise you to deal with gynae oncology physician from this point of time.
I will also advise you to review your slides from another place for an accurate diagnosis.
If diagnosis is still not reached then you may need another surgery for additional tissue collection.
If you have no more clarifications then please rate the answer and close the thread.
Regards
DR De
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari
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