Doctor insights on:
What Does Endometrial Tissue Look Like
In period, can endometrial tissue pass as a circle sac that is strawberry sized, transparent, 1 inch wide, thin sac layer, like water bag?
Possible: Yes, sounds like a small cyst. It's not really common, buit it's definitely possible. ...Read more
The body is composed of tissue that are classically described as beiing derived from three basic embyonic layers known as the endoderm, mesoderm and ectoderm that then differentiate into the structures that compose the body such as skin, soft tissues, bone, muscle, organs, etc. Stem cells are not differentiated and have the potential to ...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
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
Endometrial biopsy 9mm w/scant tissue sample no atypical cells but Dr. wants 2nd biopsy. Wasn't enough tissue to make definite diagnosis? Concerning?
Do not worry: Please follow your doctor's advice and get a second biopsy. There was not enough tissue in the first one for making a diagnosis. Excluding disease by having a second biopsy will provide peace of mind. ...Read more
I have had some endometrial tissue on my tissue when i wipe seems quite large amount i took 150 Clomid (clomiphene) ad 5 18mm flicles do you think this is why ?
Is there a difference between endometrial tissue that exactly looks like gestational sac and the real gestational sac? Or only the lab test can tell?
Only the lab : Generally only the pathology lab can tell the difference. ...Read more
Passing what looks like small pieces of tissue in urine 2 weeks following endometrial ablation, normal?
Can endometrial cancer look like a normal endometrium in secretory phase? Or are there usually other sonographic features? What stage would this be?
This is not uncommon: The tissue you described is the residual tissue burned during the ablation. I've heard it described by novasure patients like that. It's also not uncommon to have some bleeding after an endometrial ablation. Sometimes regular periods may return after several weeks to years. It is more common to have light bleeding. You should discuss this with your doctor at a future visit. It is not urgent. ...Read more
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
What do "no well presereved endometrial tissue identified" and also "tiny shedding endometrium and squamous epithelium" mean in my pathology report?
Benign: No malignancy was identified. Not a great sample but some endometrium was available for examination within the biopsy. ...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
Getting a D&C with myosure in 1 week to remove polyp and overgrown endometrial tissue. Will it be possible for me to get pregnant after this procedure?
it is normal, howeve:
Exfoliated endometrial cells are commonly seen in specimens, obtained during the proliferative phase of the menstrual cycle. However, endometrial cells have been considered a potential harbinger of endometrial adenocarcinoma when seen in cervical/vaginal cytology preparations of postmenopausal woman.
In a woman 40 years old or older endometrial cells should be reported and follow up need. ...Read more
No: He / she is free to look but visuals on D&C products are famously unreliable. The pathologist needs to look, and if you have any doubts, you can it read by several of us. ...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
Is it possible that a vaginal ultrasound will misdiagnose a endometrial polyp? Is it possible this is scar tissue from a fiberoil i had removed?
Polyp: Appearance of lesions on imaging is often suitable as a screening test, but as noted by the other physician's answer it could very well be something else. A biopsy will tell with certainty, as a polyp, leiomyoma, scar and hyperplasia, etc, all have very characteristic features on pathology. ...Read more
Doctor. Can non-pregnant girl pass endometrial tissue as strawberry sized transparent round sac in period discharge? Thanks!
I had 8cm ovarian cyst and endometrial tissue removed. Is it necessary to take hormones such as lupron (leuprolide) to prevent a reoccurence?
No: Lupron (leuprolide) will help prevent recurrence while you are on it. However, Lupron (leuprolide) is usually used short term and it may recur after you stop it. Drugs such as birth control pills can be used long term and so may be more helpful. Still, going on hormones after surgery is not absolutely necessary. ...Read more
On 8/30 + 9/20 i had 80mg kenalog epidural injections. Lmp 8/16. On 9/16 i started spotting continuously on 10/14 at routine gyn visit i had a cervical polyp removed (path showed it was endometrial tissue) i started progesterone 10 mg x 14 days. Still no
I : I am assuming you have had a pregnancy test during this, if not then your doctor should perform one if there is any possibility. There are many causes of spotting, did your doctor think that the cervical polyp or its removal was causing your spotting? Also spotting can be caused by our hormones being "out of whack", this is called dysfunctional uterine bleeding. Usually progsterone will get you back into a rhythm but it sounds like that didn't happen. I do think your doctor's ideas are good including the sonohysterogram. I do not think the steroids are related to the spotting. ...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
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