Doctor insights on:
Ocp Endometrial Cancer
Are uterine cancer, endometrial / ovarian cancer, and uterine fibroids/other abnormalities detected through pap smear other than cervical cancer?
No.: Pap smears sample cervical cells only.Get a more detailed answer ›
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
Unclear Question?: These are somewhat unrelated questions which makes it difficult for me to address your question. Evista (raloxifene) is not used for treating cancer...It is sued for treatment/prevention of osteoporosis. Estrogen receptors are specialised protein receptors found in breast cancer.Uterine cancer has little bearing on either of the two references you have listed. ...Read more
Estrogen/Uterine CA: Absolutely not. "high" estrogen levels are only one factor in the risk profile for uterine cancer, which also includes obesity, family history, and oral contraceptive history. Even if you possess one or more risk factors, that does not mean that a tumor is certain. Close monitoring and counselling by your gyn is the best course of action. ...Read moreSee 1 more doctor answer
It is an option: The Mirena (levonorgestrel) can counteract or balance the estrogen from patches to prevent uterine cancer but the clinical data for this is limited. Everyone's situation is different but it is an option to discuss with your gyn. Here is a reference on pubmed.gov Climacteric. 2011 Dec;14(6):622-32. Copy and paste that and you will see the study. ...Read more
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 moreSee 1 more doctor answer
Assuming the polyp: Was removed and "simple cystic hyperplasia" is the final diagnosis in the pathology report, then yes, it is benign. The pathology report needs to be understood in its entirety. It is also important to follow up with your doctor regarding the need for any further workup, if necessary. ...Read more
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Generally no.: Endometrial cells can be 'normal' in a pap test depending upon the age of the patient and the time of the menstrual cycle in which the test was performed. If a pap is collected in a premenopausal woman within 10 days of the onset of bleeding / menses, then the endometrial cells are most likely part of uterine shedding. In postmenopausal women, a finding of endometrial cells needs explanation. ...Read more
Post menopause bleeding. D&c clear, tvu show hyperplasia(6mm). Pap smear clear. Sometimes pelvic pain & bloating. 1.3cm ovarian cyst.Ovarian cancer?
No, a risk factor: Unopposed estrogen is a risk factor for uterine cancer but it does not always cause it. Unopposed estrogen means it is given without any Progesterone another female hormone. Somewhere between 4-8 out of every 1000 women receiving unopposed estrogen per year will get uterine cancer. Being obese probably makes the risk closer to 8/1000, whereas in thin women the risk is about 4/1000. ...Read more
U/S shows 7cm hypoechoic mass/endometrioma on ovary, prominent uterus, irregular endocavity, polyps .. history of endometriosis. is hysterectomy next?
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