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Doctor insights on: Hysterectomy Uterine Cancer

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Dr. Barry Rosen
4,458 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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Endometrial polyp and endometriosis related?

Endometrial polyp and endometriosis related?

Not really: They are two separate pathologies...Not uncommon for them to coexist but. As one nears menopause, endometriosis and its symptoms will recede, but endometrial polyps can still occur and warrant evaluation especially if you are having post menopausal bleeding. ...Read more

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Are uterine fibroids cancerous?

Are uterine fibroids cancerous?

Very rarely: Only in very rare instances can fibroids be cancerous. If there is very rapid growth in the size, these are the ones that could be a leiomyosarcomas but again very rare. ...Read more

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Does tamoxifen cause uterine cancer?

Does tamoxifen cause uterine cancer?

It can.: The most definitive study that looked at uterine cancer rates associated with tamoxifen found that women had twice the risk of developing uterine cancer, at a rate of 1 per 500 women per year. This rate is far lower than the rate of breast cancer prevention; thus, the benefits far outweigh the risks. A better alternative after menopause is aromatase inhibitors, which do not increase this risk. ...Read more

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Can uterine fibroids and/or adenomyosis reoccur after having a hysterectomy?

Can uterine fibroids and/or adenomyosis reoccur after having a hysterectomy?

No, not really: Adenomyosis is when the lining cells of the uterus are located just deep to the lining (but still within the uterus). It can be thought of as endometriosis of the uterus. Hysterectomy would remove this. Almost all fibroids are in the uterus also and would be removed with hysterectomy, although there are fibroids on rare occasions outside the uterus which could be missed/reoccur but very rare. ...Read more

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Does uterine cancer increase the risk for colon cancer?

Does uterine cancer increase the risk for colon cancer?

Sometimes: There is a familial disorder known as lynch syndrome which increases both the risk of colon cancer and endometrial (uterine) cancer. About 5% of all colon cancers are caused by lynch syndrome. If a family has multiple cases of both colon and endometrial cancer or colon cancer under the age of 40, lynch syndrome should be considered. ...Read more

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Post menopause bleeding. D&c clear, tvu show hyperplasia(6mm). Pap smear clear. Sometimes pelvic pain & bloating. 1.3cm ovarian cyst.Ovarian cancer?

Post menopause bleeding. D&c clear, tvu show hyperplasia(6mm). Pap smear clear. Sometimes pelvic pain & bloating. 1.3cm ovarian cyst.Ovarian cancer?

Need work up: You had ultrasound and d&c; the uterus should be clear. Bloating and pain is probably unrelated to your gynecology issues.The ovarian cyst however, is worth a follow up by ultrasound and blood test. ...Read more

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Abnormal pap smear-enlarged uterus(11cm)left complex ovarian cyst(new since 7/31/15)and thickening endometrium(10mm)Possibly cancer?Lower abd pain24/7

Abnormal pap smear-enlarged uterus(11cm)left complex ovarian cyst(new since 7/31/15)and thickening endometrium(10mm)Possibly cancer?Lower abd pain24/7

A cornucopia: You have 5 major reasons for seeing a GYN MD now. This is the "horn of plenty" of symptoms that need immediate evaluation. Surgery may be in your immediate future after biopsy and evaluation. ...Read more

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Can an ultrasound detect ovarian cancer or uterine cancer?

Can an ultrasound detect ovarian cancer or uterine cancer?

Ovarian/uterine CA: Ultrasound can detect ovarian mass and abnormal thickening of the uterine lining which may suggest uterine ca in the right clinical setting. May need further imaging and /or intervention if there are suspicious findings on ultrasound. ...Read more

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Uterine wall- non secretory surface endometrium over myometrium. Uterine nodule - leiomyoma of uterus without cellular atypia. Uterine cervix- chro?

Uterine wall- non secretory surface endometrium over myometrium.   Uterine nodule -  leiomyoma of uterus without cellular atypia. Uterine cervix- chro?

Path report: Is this a biopsy? Are you bleeding? Results of a hysteroscopic procedure? Go to the post procedure follow up and discuss the next step with your gyn physician. ...Read more

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Is uterine cancer genetic?

Is uterine cancer genetic?

Possible: In a sense all cancer is "genetic" in that it occurs do to changes in dna that cause cancer formation. However, if your questions is about familial/inherited cancer, then most uterine cancer is not from an inherited increased cancer risk. But some uterine cancer may be related to cancer risk genes such as brca 1/2 and other genes. Genetic counselors can help determine. ...Read more

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Are fibroids, endometrial hyperplasia, or polyps a precursor to cancer?

Possibly: Fibroids are benign growths of uterine muscle and are not cancerous. Rarely, a fast growing fibroid may in fact be a sarcoma or a cancer. A uterine polyp (like a skin tag in the uterus) can be totally benign or may house hyperlastic cells. Endometrial hyperplasia with atypical cells is considered precancerous and should be treated. Bleeding after menopause should always be evaluated. ...Read more

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Hysterectomy side effects compared with uterine fibroid embolization?

Higher risk w surger: The risk of significant complications of any major abdominal surgery is generally considered to be between 5-10%. The risk of major complications of uae/ufe is below 3%. Embolization also has a faster recovery than surgery. ...Read more

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Breast cancer, lymphadema, ovarian cysts,fibroid, atrophic kidney, gallbladder polyps, diverticula, appendicitis, osteoprosis, ddd are they connected?

Breast cancer, lymphadema, ovarian cysts,fibroid, atrophic kidney, gallbladder polyps, diverticula, appendicitis, osteoprosis, ddd are they connected?

Muliple issues: I would suggest that you seek a comprehensive medical evalaution: some GI symptoms may be related; however breast cance, ovarian cysts, kidney diease are all separate issues. Get yourself in the hands of an expert or experts-ASAP. ...Read more

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Is uterine fibroid with cystic degeneration cancerous?

Is uterine fibroid with cystic degeneration cancerous?

Usually not: "cystic degeneration" usually means that a portion of the tumor has died as a result of its blood supply not always being adequate. If the tumor is troubling you, or if it is growing rapidly, or the radiologist has other concerns, you should consider having it removed or you may be given other options such as embolization. If there are other warnings of cancer, you must have it removed. Good luck. ...Read more

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How is ovarian cancer different from metastatic ovarian cancer?

How is ovarian cancer different from metastatic ovarian cancer?

Related to spread: Metastatic refers to a cancer that has spread from the original site that it originated from to a more distant site in the body. For example, if a woman had ovarian cancer and it spread to the lungs then this would be consider metastatic disease. ...Read more

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Postmenopausal laparoscopic oophorectomy dermoid cyst?

Postmenopausal laparoscopic oophorectomy dermoid cyst?

For postmenopausal:: I would recommend oophorectomy in a postmenopausal patient, due to the (small, but possible) risk of a malignancy. While the most common type of dermoids are benign, they can be some that are malignant, and in a menopausal female i would recommend oophorectomy instead of cystectomy, to ensure that the tumor is removed entirely. For a premenopausal patient i would recommend cystectomy. ...Read more

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How do they decide whether to sample lymph nodes during a hysterectomy for uterine cancer?

How do they decide whether to sample lymph nodes during a hysterectomy for uterine cancer?

They usually just do: Most surgeries where the uterus is removed for uterine cancers will have some lymph node sampling. This sampling is not usually done when the pre-operative diagnosis is a pre-cancerous condition, even though cancer may be found on the final pathology evaluation. Surgeries to place radioactive implants to treat cancer do not involve lymph node sampling. ...Read more

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Acute renal failure after hysterectomy becuase of uterine cancer. Is this normal after a hysterectomy? Problems after surgery, dec 2011, mother 62, now renal failure. Kidney doctor found blockage causing the kidneys to fail.

Acute renal failure after hysterectomy becuase of uterine cancer. Is this normal after a hysterectomy? Problems after surgery, dec 2011, mother 62, now renal failure. Kidney doctor found blockage causing the kidneys to fail.

Assuming : Assuming that your mother did not have chronic renal disease going into surgery, then the prognosis for recovery of kidney function will depend on the reason for the acute injury. Most often acute renal failure is due to a period of low blood pressure, where there is not enough blood pressure to perfuse the kidney which results in something called acute tubular necrosis. There are varying degrees of this, which should improve once the blood pressure stabilizes, in some cases, hemodialysis may be necessary to support the kidney until this recovers. Another potential cause though, particularly in uterine surgery, is injury to the ureters, sometimes due to the extent of the tumor or difficulty in removing the uterus. As you mention that the kidney doctor said a blockage was found, this may be a contributing factor, but usually is known prior to surgery. Other causes (unlikely here) may relate to drug toxicities, for example antibiotics or chemotherapy related. In general, if the patient goes into surgery with good kidney function, the prognosis for recovery is good once all the inciting factors are removed. ...Read more

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Just been diagnosed with uterine cancer stage three awaiting hysterectomy will i need chemo?

Just been diagnosed with uterine cancer stage three awaiting hysterectomy will i need chemo?

Yes will Need : Yes will need aggressive therapy , to eradicate disease completely from pelvis , most of the time besides chemotherapy radiation is also required. Please follow you doctors advise carefully . If you are not sure take a second opinion also , your doctors will be happy to provide such service. Good luck. ...Read more

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Is surgery(hysterectomy) always the first option of uterine cancer even if you haven’t had children?

Is surgery(hysterectomy) always the first option of uterine cancer even if you haven’t had children?

It depends on the : location and severity of the cell abnormalities, but the need for hysterectomy would be true in most all cases. Discuss your concerns with your doctor to be sure for your specific case. ...Read more

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With cervical and uterine cancer which procedure is preferable: a particial hysterectomy or a full hysterectomy?

With cervical and uterine cancer which procedure is preferable: a particial hysterectomy or a full hysterectomy?

Full: If you have cancer you should see a gyn oncologist to make sure that hysterectomy is done correctly for cancer treatment. Sometimes they wait on surgery for other treatments first. Ask to see a gyn oncologist. ...Read more

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I have cervical and uterine cancer. Should I get a partial hysterectomy or a full hysterectomy?

I have cervical and uterine cancer. Should I get a partial hysterectomy or a full hysterectomy?

Cancer: Make sure you see a gyn oncologyst. They are really trained, and will tell you exactly what you need. Cervica cancer early stages can be treated with surgery. More advance stages require only radiation as treatment. So make sure you see a specialist dealing only with cancer in the genital area. ...Read more

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Is radiation be used to treat uterine cancer? After a hysterectomy, will i still need radiation treatments for uterine cancer? .

Possible: You should discuss with your oncologist and gynecologist but what steps are required after hysterectomy depend on how advanced the cancer is when it is discovered. If it is confined to the uterus often a hysterectomy is all that is needed. If it is spread outside the uterus other treatments may be needed. ...Read more

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How can d and c biopsy show uterine cancer and then hysterectomy pathology complex hyperplasia atypic? How can I be told I have cancer when I don't?

How can d and c biopsy show uterine cancer and then hysterectomy pathology complex hyperplasia atypic? How can I be told I have cancer when I don't?

Talk to pathologist: There is more than one likely explanation. A superficial cancer may have been scrapped away by D&C not leaving any recognizable cancer, even though it is there in an occult form. It is also possible that there was an error in reading the D&C tissue. It would be prudent for and your doctor to talk to the pathologist who examined the tissues. ...Read more

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I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer. What;s the recovery time?

I'm scheduled for robotic total hysterectomy with pelvic lymph node dissection for uterine cancer.  What;s the recovery time?

Quick : Robotic surgery allows rapid recovery. You will need to confirm the plan with your surgeon. Most likely you will stay overnight in the hospital. People usually take 2-6 weeks before returning to work ...Read more

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Should I lower BMI from 20 to 19 to lower estrogen? Had uterine cancer and hysterectomy. Kept ovaries. Afraid of breast/ovarian cancer.

Should I lower BMI from 20 to 19 to lower estrogen?  Had uterine cancer and hysterectomy.  Kept ovaries.  Afraid of breast/ovarian cancer.

No: Your BMI is normal. What stage/grade was your uterine cancer? Is there a family history of breast/ovarian cancer? Your surgeon may be able to provide you with information regarding these risks, may be able to order cancer genetics screening tests if indicated, or may be able to refer you to a cancer genetics counselor should you choose to do so. Best Wishes ...Read more

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Major pain and pressure in the butt an vaginal area with diarrhea &n/v ..Had hysterectomy 6 yrs ago bc of endometriosis and uterine cancer?

Major pain and pressure in the butt an vaginal area with diarrhea &n/v ..Had hysterectomy 6 yrs ago bc of endometriosis and uterine cancer?

See your doctor: Endometriosis can persist and continue to develop if you still have ovaries or are on hormone replacement surgery, even without a uterus. You should see your doctor (primary first or ob/gyn) and have an exam to r/u recurrence of the endometriosis or uterine cancer. Other issues could be prolapse, bowel obstruction due to pelvic adhesions or fistulas. They should consider a colonoscopy as well. ...Read more

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Is it safe to take estrogen after having had a hysterectomy for endometrial cancer?

Is it safe to take estrogen after having had a hysterectomy for endometrial cancer?

Not usually: You need to ask your oncologist. I can't answer this question without knowing your endometrial cancer stage and type. Usually, ert is not recommended & fortunately for you not always needed. There are effective treatments for menopause symptoms, osteoporosis protection, or any hypo-esrogenic problems you may have. Good luck & don't forget to ask your doc. ...Read more

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Could someone take estrogen after having had a complete hysterectomy for endometrial cancer?

Could someone take estrogen after having had a complete hysterectomy for endometrial cancer?

Sometimes.: Always check with your oncologist before starting any hormonal therapy after having endometrial cancer. ...Read more

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I have stage 4b endometrial cancer low grade. What is the life expectancy? I had a full hysterectomy and am doing chemo

Life-Expectancy: Unfortunately, I am in no position to answer your question nor would any other doctor on this forum. I don't have any of your pathology, radiology, and the progression history of your disease.I would recommend a frank discussion with your oncologist regarding realistic therapeutic goals. You do have many options for second or third opinions in the oncology community. There is much available online ...Read more

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Is a ca 125 level of 5.8 after complete hysterectomy for endometrial cancer normal?

Is a ca 125 level of 5.8 after complete hysterectomy for endometrial cancer normal?

Normal: Ca 125 is usually a marker for ovarian cancer and not endometrial pathology. When employed it should only be used for monitoring response to treatment in ovarian ca and not for making dx. We have seen Ca 125 > 1000 associated with ascites strongly suggesting ovarian pathology. End result proved it was related to an alcoholic liver producing the elevated marker and ascites from the liver path. ...Read more

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Hysterectomy for endometrial cancer. Now have all mediatinal lymph nodes & bilateral hilar enlarged w/virchow's node. No sarcoid. What?

Hysterectomy for endometrial cancer.  Now have all mediatinal lymph nodes & bilateral hilar enlarged w/virchow's node. No sarcoid.  What?

Investigation&biopsy: Need evaluation & investigation , virchow's node is most likely from abdominal metastasis , can be diagnosed by simple biopsy low risk procedure , nature nodes in the chest need pet scan evaluation first or vats ( video assisted thoracic surgery ) biopsy. ...Read more

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Had a lap hysterectomy approx 4 weeks ago including removal of both ovaries & tubes due to endometrial cancer. Exp shooting intermittent pains. Cause?

Had a lap hysterectomy approx 4 weeks ago including removal of both ovaries & tubes due to endometrial cancer. Exp shooting intermittent pains. Cause?

Lap hysterrectomy: Any form of extensive abdominal surgery produces scar tissue ( "adhesions") at the raw surfaces where tissue is removed (ovaries, tubes, vaginal site of uterine removal) . These can attach to loops of intestine (like sticky glue) and when the intestine moves food through the contractions cause sharp pain. If this continues, see your surgeon and discuss possible solutions. ...Read more

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I had bleeding today for the first time since I had my hysterectomy two years ago for endometrial cancer. No oncologist. Call a gynecologist?

I had bleeding today for the first time since I had my hysterectomy two years ago for endometrial cancer. No oncologist. Call a gynecologist?

Not from recurrence: depending on the extent of endometrial invasion of the wall of the uterus, at 2 years if there is no evidence of recurrence in pelvis or distal spread on CAT, the vaginal bleeding probably unrelated. On pelvic if a lesion of vagina seen, then bx should be performed. This is rare following a good hysterectomy for endometrial disease, but can occur from squamous Ca of vagina or other lesion. ...Read more

Dr. Lynne Weixel
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Pet Colorectal Cancer Diagnosis (Definition)

Pet scanning is used for staging of a variety of cancers. Lesions seen on plain scans can be shown to be biologically active of pet scan this then suggests metastatic tumor and stages the disease. If a lesion on plain scan does not "light up" on pet scan, it is ...Read more


Dr. Jane Van Dis
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Dysfunctional Uterine Bleeding (Definition)

In nonpregnant women, abnormal vaginal bleeding is vaginal bleeding that is too heavy, too light, to spotty, too painful, too frequent, or more infrequent than one would expect for a particular part ...Read more