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Doctor insights on: Hysteroscopy Uterine Biopsy General Anesthetics

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Dr. Mark Ingerman
2 doctors shared insights

Biopsy (Definition)

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


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How accurate is an office hysteroscopy endometrial biopsy &polypectomy in showing cancer or hyperplasia?

How accurate is an office hysteroscopy endometrial biopsy &polypectomy  in showing cancer or hyperplasia?

Not entirely - : To make these diagnoses - of cancer and hyperplasia - a pathologist really must examine slides of biopsies or smears. These diagnoses cannot be made with any certainty without microscopic examination. ...Read more

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Is cervical polyp removal done under general or local Anesthesia in obgyn office or with no Anesthesia?

Is cervical polyp removal done under general or local Anesthesia in obgyn office or with no Anesthesia?

Depends: Hi Candi, It depends on the size and placement of the polyp. A physician may elect to remove a polyp without anesthesia in the office if it is readily visualized with the naked eye and with proper instruments. If a polyp is large and the physician feels that an office proceedure would be uncomfortable to her patient, then he/she may decide that the O. R. would be the best place with anesthesia. ...Read more

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Petrified last 4 yrs had 3 hysteroscopies w/ DNC biopsy ALL BENIGN 1 pap with endometrial cells 4 uterine polyps how likely missing cancer diagnosis?

Petrified last 4 yrs had 3 hysteroscopies w/ DNC  biopsy ALL BENIGN 1 pap with endometrial cells  4 uterine polyps how likely missing cancer diagnosis?

All biopsies negativ: That's great news to be celebrated! Do you have a family history of breast or uterine cancer? Are you BRCA positive? Have you had mammograms or colonoscopies done? Why are you petrified? Speak to your doc about your fears and address them. You seem to be partly doing that already. ...Read more

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Histological section shows mainly decidualised endometrial tissue with hyperplastic glandular component specimen: uterine evacuation?

Histological section shows mainly decidualised endometrial tissue with hyperplastic glandular component

specimen: uterine evacuation?

Hyperplasia: The sample you describe is suggestive of overgrowth of tissue in the uterus due to irregular menstrual cycles. It is seen in women who go for > 6 months without bleeding and suggests overstimulation due to estrogen effect. If left untreated, it could lead to endometrial cancer. Still, it is very slow growing but needs to be monitored. ...Read more

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Is Fibroadenoma tumor removed under general or local anesthesia ?

Is Fibroadenoma tumor removed under general or local anesthesia ?

Either: It can be removed under local anesthesia. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more

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Is uterus biopsy and endometrial receptivity array the same procedure?

Is uterus biopsy and endometrial receptivity array the same procedure?

Sort of...: Endometrial receptivity array is a genetic test on a sample of endometrial tissue to determine the best time for implantation to occur, and is used to try and improve succeed in IVF. The specimen is obtained as an endometrial biopsy. ...Read more

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Which you prefar spinal anasthesia or general anasthesia during cesarean section?

Which you prefar  spinal anasthesia or general anasthesia  during cesarean section?

Spinal or epidural: The regional anesthetic with either a spinal or an epidural is the preferred way to perform this operation. It is safer for the mother, as well as lets her see the baby as they are born. Talk to your anesthesiologist about your options. ...Read more

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Extensive residual endo, endometrioma involves rectosigmoid junction back of uterus & cervix dense tissue infiltration deep pelvic endo wot this mean?

Extensive residual endo, endometrioma involves rectosigmoid junction back of uterus & cervix dense tissue infiltration deep pelvic endo wot this mean?

Severe disease: You are describing severe endometriosis that is difficult to treat and that they were unable to completely remove. Some sort of medical treatment is probably your next step. It will be best if you can find a specialist with experience with these difficult cases since the usual gynecologist encounters these rarely. ...Read more

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Does laparoscopy for see the extra uterine gestation needs general anesthesia or local anesthesia? How long the procedure will take? Any risk

Laparoscopy : Requires general anethesia. The anesthetic time for this procedure should only be a little longer than the surgical time. Your ob/gyn should be able to give you a good time estimate. ...Read more

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Office hysteroscopy w/ endo biopsy &polypectomy came back from labs as normal how accurate no cancer or hyperplasia?

Office hysteroscopy w/ endo biopsy &polypectomy came back from labs as normal how accurate no cancer or hyperplasia?

Very accurate: Biopsy analysis pathology report is the final answer, if report is negative you should be very happy, it means no cancer, report says no hperplasia it means what it says. You should celebrate for the good news ...Read more

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If I have a uterine polyp and endometrial hyperplasia, wouldn't hysteroscopy be better than pipelle biopsy?

Yes and no, ...: For treatment yes, for diagnosis no. This is a generalization and you should really discuss this question with your doctor. Best of luck. ...Read more

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Can cerclage be performed under regional anesthesia?

Can cerclage be performed under regional anesthesia?

Best option: Regional anesthesia (spinal)is the good option and frequently used during cerclage. Very little medication is used, which will unlikely to affect a baby. If appropriate dose is used recovery from spinal anesthesia can be quick. ...Read more

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Hysteroscopy 9/13 biopsy all nrml taking progesterone now have 2cm uterine polyp unlikely cancer or no?

Hysteroscopy 9/13 biopsy all nrml taking progesterone now have 2cm uterine polyp unlikely cancer or no?

Unlikely: all endometrial polyps should be sent to a pathologist for after ascertainment of whether or not there is a cancer in the polyp. This is highly unlikely if you are on progesterone, however the risk of cancer does increase with age. My suggestion would be to have the polyps removed. The procedure is low risk, would be happy to discuss further. ...Read more

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Is endoscopy with general anesthesia?

Is endoscopy with general anesthesia?

Twilight: Typically it is done in a sedative state known as conscious sedation but depending on the depth and reflex, general anesthesia may be necessary or occur. ...Read more

Dr. Krishna Kumar
11 doctors shared insights

Anesthetic (Definition)

Anesthetics's are a class of drugs which cause a reversible loss of sensation. The 2 main classes are general and local. General anesthetics cause unconsciousness and total loss of sensation. Local anesthetics cause loss of sensation ...Read more


Dr. Shiao-Yu Lee
338 doctors shared insights

Hysteroscopy (Definition)

Hysteroscopy is a procedure utilizing a thin telescope with a light cord and camera attached to visualize the inside of the uterus. The scope is inserted through the vagina, into the cervix and then entered ...Read more