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To Dr. Mazumdar..... you've been answering my ...
Sent to Health Experts September 01 01:27 PM

To Dr. Mazumdar..... you've been answering my questions on the severe dysplasia and partial vaginectomy.... have another.... I had my ovaries taken out 14 months ago and at that time they found the severe dysplasia, tried the laser and I know they did another PAP between that one and the current one, wouldn't that have been severe as well and shouldn't I have been told again at that time, which would have been about 6 months ago.

 

Optional Information:
Female , Age: 46

Already Tried:
laser, biopsy, already had full hysterectomy

Customer (name blocked for privacy)
Answer
September 1 1:50 PM (22 minutes and 39 seconds later)
         
REPLIEDCheck Mark

Hello,

If you had severe dysplasia at the time your ovaries were taken out, then unless the laser treatment had succeeded you would still have the dysplasia six months later. I believe you said that the laser had failed. Then yes you would have had severe dysplasia 6 months ago too. I wonder why you were not told and treatment (like vaginectomy) not started right away.

What did the doctors tell you at the time?




Experienced in the management of Pregnancy,Infertility,Menopause and all problems in Pregnancy and Gynecology
Reply
September 1 8:15 PM (6 hours and 25 minutes and 31 seconds later)
         
Reply to Dr.M.D.Mazumdar, MD(O's Post: I don't remember hearing anything back so I probably just thought everything was okay. I knew that they had found something right before surgery last May and I had to go in for some type of test but that was on a Friday and my surgery was on Wed., so I never heard the results from what they did but I did know they were doing laser along w/taking the ovaries. Then I was treated for the severed ureter over the next few months and didn't have a follow-up pap until the beginning of this year and then another one at the end of July and I don't remember anything being reported back to me for the one earlier in the year.   I'm being sent to a gyn/oncologist next week with the recommendation of the vaginectomy. Although the biopsy showed no cancer but still severe dysplasia, is it a possibility that if they do the vaginectomy and test the cells, they could still find cancer or would the biopsy be pretty accurate? This procedure really scares me and I know I keep coming back to you but your answers are really understandable and my husband and I really appreciate the information. Thank you.
Answer
September 1 10:53 PM (2 hours and 37 minutes and 28 seconds later)
         
REPLIEDCheck Mark

Hello Rhonda,

It is possible that at the time although your doctors knew about the severe dysplasia, they were more concerned about the damaged ureter since it needed immediate treatment. Perhaps they also thought that you would not be able to stand two operations (one for the ureter and second - the vaginectomy) at the same time.

Before the vaginectomy, the area of the tissue containing dysplasia will be clearly marked out and then removed. A bit of normal tissue is also taken out along the edge so that there can be no abnormal cells left behind. After the vaginectomy, the tissue taken out will be re-examined for cancer. It is unlikely that you will have any cancer cells. Even if you do, it would not matter much as the tissue will have been removed anyway. Most women have no problems after a vaginectomy.

I am sure that the oncologist will take the best decision possible.

I hope this helps.

Let me know if you need more input. If not, please click on the green"Accept" button on this page. A positive rating and adding a bonus will be warmly appreciated.




Experienced in the management of Pregnancy,Infertility,Menopause and all problems in Pregnancy and Gynecology
Reply
September 1 11:01 PM (7 minutes and 58 seconds later)
         
Reply to Dr.M.D.Mazumdar, MD(O's Post: One more question.... since it's waited so long, will it matter much if the doctor decides to wait a while longer to run his own tests or wait on surgery or should I question him about doing it soon if he recommends the same procedure?
Answer
September 1 11:07 PM (6 minutes and 44 seconds later)
         
ACCEPTEDCheck Mark

Hello,

It would not matter much if the doctor decided to run his own tests - you can wait, since you have waited so long already. In fact, many doctors prefer to run their own tests as it gives them an idea of exactly how much tissue to take out, instead of relying on another doctor's diagnosis. Some doctors however are Ok with it and do not run their own tests.

I think the best thing will be to allow the doctor do what he wants - whether he wants to do the operation right away or whether he prefers to run his own tests.

I hope this helps.

Let me know if you need more input. If not, please click on the green"Accept" button on this page. A positive rating and adding a bonus will be warmly appreciated.




Experienced in the management of Pregnancy,Infertility,Menopause and all problems in Pregnancy and Gynecology
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