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hyperplasia-thickness is that an indicator? hyperplasia-thickness is that an indicator?

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  #1  
Unread 03-28-2004, 11:45 AM
hyperplasia-thickness is that an indicator?

Hi,
I posted a couple of days ago. During an ultrasound my Doc found that I have an endometrial thickness of 12 mm ( might be a bit less on average, as I just started to get my period). I experienced abnormal bleeding the last two years. I am really freaked out that this is cancer, since it is been going on for so long. The Doc thinks that there is a good chance it is not because I am only 34 and this began with 32. From reading posts here, I gather 12 mm, is quiet a bit? I will have a D&C soon, and than I know. I just wonder if there are people who don't have cancer with such a thickness? Just asking for your experience.
Tinka
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  #2  
Unread 03-28-2004, 12:17 PM
hyperplasia-thickness is that an indicator?

Hi Tinka,

I know that this is easier said than done but please do not panic quite yet.

Although I do not have first hand knowledge, I do have a friend who just had a D&C due to abnormal bleeding and a thickening of the uterus wall. Well, in her case all was well.. She had a benign palop that was causing the bleeding and was told that all else was good.

She has an after procedure checkup this week and maybe they will tell her more at that time.

Keep in touch.
Rosalie
  #3  
Unread 03-28-2004, 01:09 PM
hyperplasia-thickness is that an indicator?

Rosalie,
thank you for writing. My Doctor told me that this does not automatically mean cancer. I am trying to read up on Hyperplasia etc., but all I read is that anything thicker than 5 mm is abnormal. What really scares me is the knowlege that I have abnormal spotting/ with period since 2 years, and was not taken seriouse. As I wrote, any encouraging story will help me. I don't really have anyone with whom I can talk about this.
Thanks and Hugs
Tinka
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  #4  
Unread 03-28-2004, 02:54 PM
hyperplasia-thickness is that an indicator?

The lining of my uterus was so thick that my doctor couldn’t tell if there were any fibroids or polyps during an ultrasound exam. She didn't give me a measurement as to how thick it was, so I am not sure how it relates to yours... My DR. did an endometrial biopsy and diagnosed me with simple hyperplasia. There are types of hyperplasia – simple hyperplasia without atypia, complex hyperplasia without atypia, simple hyperplasia with atypia, and complex hyperplasia with atypia. Check out this website this for more info: http://www.baymoon.com/~gyncancer/li.../aa110600a.htm

From what I read on this web site, it’s not the thickness that is necessarily the problem, but the type of cells present (which would need to be biopsied & examined.)

Has your doctor recommended any further testing? It might put your mind at ease if your doctor would biopsy the tissue to determine the type. (My biopsy was a relatively painless procedure done in the doctor’s office.) Has your doctor suggested any treatment options? I am currently taking Prometrium (progesterone) for half the month to encourage shedding of the endometrial tissue. I will also be having a D & C in a few weeks, which should show for sure if there is anything “lurking” in there that would cause concern.

Call your doctor to discus your concerns. If you are not satisfied with the diagnosis or treatment your doctor is currently providing, then seek a second (or third, or fourth) opinion until you are satisfied.
  #5  
Unread 03-28-2004, 03:08 PM
hyperplasia-thickness is that an indicator?

I had a thickened endometrium... was found on a transvaginal ultrasound. They weren't sure if there was a polyp in there too at the time. Had a D&C and laparoscopy. Was a polyp and thick endometrium. Polyp was benign, but had endometrial hyperplasia with atypia. I'm 29. I'm taking Megace now to fix it, with an upcoming biopsy in April, and another D&C in July (and hopefully that will be the end of it).

So... it might be nothing, but even if it IS something, they can treat you with hormones at your age, usually, and save your uterus.
  #6  
Unread 03-28-2004, 04:23 PM
hyperplasia-thickness is that an indicator?

Thank you so much for your replies,
a friend who is a Gyn told me that it might be a polyp or a fibroid that is not visable on the ultrasound ( did not have the vaginal, only from outside my stomach). I am not to attached to my uterus, I have to admit. The ovaries would be a different story. I am just so concerned that after about 2 years of this, cells might have changed. I would have never dreamed that something like that could be an issue already. I always had my Pap smears, and exam, mamogram. Unfortunatly, I can not choose my Doctors or specialists with my insurance. If I do and something was to be found, they refuse to cover the treatment ( went through this a couple of years ago when I found a breast lump, and they would not send me for a mammogram for 3 month).
Tinka
  #7  
Unread 03-28-2004, 05:03 PM
hyperplasia-thickness is that an indicator?

Wow Tinka....

Three months for a mammogram after you found a lump???? Your insurance carrier should be shot and your doctor should have had you in for in immediately.

You do not have your location posted. Do you live in the states?

Rosalie
  #8  
Unread 03-28-2004, 05:23 PM
hyperplasia-thickness is that an indicator?

Margeret,
thank you so much for the informative link
Tinka
  #9  
Unread 03-29-2004, 08:27 AM
hyperplasia-thickness is that an indicator?

Dear Tinka,

You have received some excellent replies. I have been told that hyperplasia alone does not increase the risk of endometrial cancer, but hyperplasia with atypia does. Tests such as endometrial biopsy or dilatation and curettage (D and C) can identify whether or not you have atypia, unlike the ultrasound scan which can only show the hyperplasia. I hope your results, like mine, will show no atypia!

In my recent researches I have discovered that obesity is a risk factor for endometrial cancer, I believe because more estrogen tends to be produced in obese women. An excess of estrogen over progestogen can cause the endometrium to thicken and not be properly expelled. Presumably this means that a healthy diet plus exercise could help with the predisposing factors such as hyperplasia with atypia too.

As I am 30 or so pounds overweight, here is something I can do for myself right now!

Jane.
  #10  
Unread 03-29-2004, 06:49 PM
hyperplasia-thickness is that an indicator?

Hello Tinka,
I also have the dx of complex hyperplasia with atypia. Was found after a normal trans vaginal ultrasound (thickness 8mm). Also, my biopsy results came back normal as well. This was found after the D&C. Doc said lining that came out of me look pretty normal...it was the path report that was a shocker to all of us.

So, be sure to get that D&C even if all the others come back normal. I was still having period problems after the ultrasound and biopsy, that is why he went ahead with the D&C.

Treated with (at first) provera for a few weeks then changed to prometrium. I tolerated that hormone better than the first.

I must tell you that this cropped up on me within 3 years. That is how long I had been off BC pills. So be sure you get the full range of tests done...even if you have to get a second opinion.

Take care,
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