Doctor insights on:
Benign Endometrial Biopsy
Endometrial biopsy benign but not definitive due to scant tissue. D & C in 3 weeks. Is it likely D & C will be benign because biopsy was. Anxious.
Most likely: However, a d&c evaluates the entire endometrial lining to rule out any focal abnormality the biopsy may not have picked up. ...Read more
Biopsy is tissue removed by needle or cutting to remove part of a body part. It is usually a small amount of material that is processed by a pathologist. Most of the time it is stained and looked at through a microscope to arrive at a diagnosis. Special processes are done for some tissues or problems. The purpose is to tell what the problem is (diagnosis). ...Read more
What does this mean? Endometrial biopsy:benign proliferative endometrium with ciliated cell metaplasia without hyperplasia or malignancy
Normal: It's benign tissue that shows estrogen effect (proliferative endometrium), cell changes that are benign (ciliated metaplasia) & no precancerous or cancerous cells. It's normal and usually means you can avoid major surgery if you have bleeding. Consider hormonal management or an ablation if you have bleeding problems. Take care. ...Read more
Thickened lining, Endometrial biopsy was benign but scant tissue sample. Dr says repeat biopsy in 30 days or do D & C & hysterscopy. How do I decide?
Discuss with doctor: This decision will need to be made by you and your doctor together. The sonogram should be reviewed to determine the thickness and appearance of the endometrial lining. If there are concerns that adequate sampling was not obtained by biopsy then direct visualization by Hysteroscopy may be warranted. ...Read more
History of lynch syndrome. Sisters endometrial biopsy said limited tissue available, but benign. Should it be redone to rule out cancer if symptomatic?
Lynch syndrome: Lynch syndrome is an inherited condition that increases your risk of colon cancer and other cancers including endometrial cancer in women. If your sister is symptomatic and does have Lynch syndrome a suboptimal biopsy is not sufficient to rule out endometrial pathology. Further workup is warranted. ...Read more
Endometrial biopsy done because uterine lining 9mm thick. Benign, but Dr only able to get scant tissue sample. Why would that happen?
Aspiration device: If your MD used a aspiration endometrial biopsy device then a small sampling was all that was needed to give a benign "diagnosis." The "olden days" in office scraping is usually no longer done unless it was a D & C in a surgical environment. ...Read more
My endometrial biopsy results: Abundant mucus with rare strips of endometrial glands. Scant benign endocervical epithelium. Is this good or bad?
Very good: They didn't find anything worrisome. Either there's nothing bad there, or it was not caught on the biopsy. Your biopsy may be repeated; ask your physician. ...Read more
Inside lining of the: Generally, in women over age 35 who have an increase in overall bleeding, the inside lining of the uterus is sampled to ensure its not uterine cancer. This is different from cervical cancer checked by pap. It involed inserting a tube with a suction device or brush in an an exam similar to a pap. It can make you cramp so take 2 aleve (naproxen) if u can. Don't worry, alot of biopsies and find few cancers. ...Read more
Minor: There are two types: a curettage and a biopsy. The lining of the endometrium is sample through the vagin and cervix. You usually don't feel anything as there are no nerves in the endometrium. Rarely, perforation through the uterus wall may occur, but this is an exceedingly uncommon and unlikely scenario. ...Read more
Endometrial biopsy: An endometrial biopsy starts just like a Pap smear. A speculum is inserted an the cervix is visualized. The cervix is cleaned off, then a tiny tube is inserted through the cervix into the uterus to get a tiny bit of tissue. It takes about 5 seconds once the tube is inserted. There is normally some cramping during the procedure. The cells are then sent to pathology for evaluation. ...Read more
Cramping: The procedure is variably uncomfortable for different patients, but generally quite tolerable. Some patients may have some discomfort or cramping, during or several hours later, and may have some vaginally spotting. However, most effects are mild and very temporary. ...Read more
Diagnostic biopsy: Endometrial biopsy: a common procedure for sampling the inner lining of the uterus (the endometrium). ...Read more
Endometrial biopsy: Endometrial biopsy is performed for abnormal uterine bleeding in anyone over 40-45. If younger than an endometrial biopsy is performed for persistent abnormal uterine bleeding or any abnormal uterine bleeding in the face of risk factors such as obesity or family history. If not menopausal than a pregnancy test should be performed first. ...Read more
Good luck: Prepare like you would as if going to your gyn for a routine exam. Listen to any specific instructions from the gyn dr. As instructed, for example, they may have told you to stop Aspirin or Ibuprofen if you are taking those to decrease bleeding, etc. The whole procedure may only take 15 minutes or there about. Preparation and paper work, etc, may be an hour or so. Best wishes. ...Read more
Like a pap smear: First a speculum is placed just like for a pap smear. Then the cervix is cleansed with betadine. Next an instrument is placed on the cervix that may cause a menstrual like cramp. Then you may feel some tugging on the cervix while a small catheter is placed inside the cavity of the uterus. This feels like another stronger and sharper menstrual cramp but lasts less than 15 seconds. ...Read more
Depends on lab: Most pathology laboratories have a 2-3 day turn around time. However, timing factors and special studies can increase the time to results. To improve your chances of a quick turn-around time, schedule your biopsy early in the day and early in the week. Consider requesting that your biopsy be reviewed by a specialist in gynecologic pathology, although this can take longer to arrange. ...Read more
Depends on lab: Using one of the big labs like quest or labcorp results should be available in 48 hours. ...Read more
Diagnosis on my endometrial biopsy states: no tissue recovered after routine processing. What does that mean?
See below: The biopsy did not recover enough tissue for processing for microscopic examination. Your endometrium may be so atrophic that it did not yield tissue on biopsy or it may have been a technical problem. Please discuss the matter with your doctor to see if an other attempt at biopsy is warranted. ...Read more
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