HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Diagnosed As Rectosigmoid CA, Biopsy Shows No Malignancy. What Next ?

my mom has been clinically diagnosed as Rectosigmoid CA.......her CECT shows features of heterogenously enhancing transmural stricturous wall thickening involving long segment of rectum and rectosigmoid with invasion of uterine stump & parametrium associated with pericolic fat stranding suggestive of neoplastic etiology....but biopsy says no feature of malignancy .........what should we do next?
Mon, 15 Oct 2012
Report Abuse
Pathologist and Microbiologist,  's  Response
Hello and welcome to HCM
It would be nice if you could post the histopathology report too.
There is a clinical suspicion and radiological evidence of malignancy. However, no features of malignancy on biopsy.
This could be due to biopsy from non-representative site.
A repeat biopsy should be done.

A diagnosis of malignancy on histopathology is a must because it is a 100% confirmatory test.
No treatment can be given on clinical suspicion or radiological evidence of malignancy.
So, repeating the biopsy from representative site.
But a word of caution, do get the slides reviewed from a second pathologist for a second opinion.

Thanks and take care
Dr Shailja P Wahal
I find this answer helpful
Note: For further follow up on digestive issues share your reports here and Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Neoplasm


Loading Online Doctors....
Diagnosed As Rectosigmoid CA, Biopsy Shows No Malignancy. What Next ?

Hello and welcome to HCM It would be nice if you could post the histopathology report too. There is a clinical suspicion and radiological evidence of malignancy. However, no features of malignancy on biopsy. This could be due to biopsy from non-representative site. A repeat biopsy should be done. A diagnosis of malignancy on histopathology is a must because it is a 100% confirmatory test. No treatment can be given on clinical suspicion or radiological evidence of malignancy. So, repeating the biopsy from representative site. But a word of caution, do get the slides reviewed from a second pathologist for a second opinion. Thanks and take care Dr Shailja P Wahal