Hi Doctor. I've recently been experiencing unusual discharge, bleeding, and discomfort in my pelvic area.
I'm sorry you haven't been feeling well. Let's start with a pelvic exam. I'd also like to order a pelvic ultrasound so we can gain a better understanding as to what could be causing you this pain and discomfort.
Hello, my name is David and I will be performing your exam today. Your Dr. ordered a transvaginal ultrasound to further assess your pelvic pain and abnormal bleeding. Do you have any questions before we begin?
The findings from your US exam were highly suspicious of uterine cancer. The report recommended an endometrial biopsy for further evaluation of the endometrial tissue. I can perform the biopsy right here in our office, you will not need anesthesia, and the procedure itself should take around 15-20 mins. We should receive lab results within 7-10 days.
Good Morning Doctor, have you received the results from my pelvic ultrasound?
OBGYN Office - Biopsy
Should I be worried about this biopsy? How is it performed?
To keep you safely positioned, I will insert a speculum and numb the area. I will then insert a very thin, flexible tool to gently suction out a tissue sample from the endometrial lining of your uterus. This tissue sample will be sent to pathology to look for precancerous or cancerous cells.
Your biopsy results came back and they were conclusive of Stage II Endometrial Carcinoma. Surgery, consisting of a total abdominal hysterectomy and adjuvant pelvic RT is the primary treatment. I will refer you to a Radiation Oncologist to get you set up for RT as soon as possible.