I just finished surgery for uterine fibroids, and the pathological examination showed that it is a precancerous lesion. The doctor said that I need to remove the uterus, and then send the pathological examination. I would like to ask the doctor, if this is the case, if the pathological examination is sent again, it may be cancer. Or is it okay to basically remove the uterus

Doctor’s answer (1)

Fan Qinying

Deputy Chief Physician Xinji Traditional Chinese Medicine Hospital

Condition analysis:

First of all, let me tell you that the probability of malignant transformation of uterine fibroids is low, and uterine sarcoma-like changes are generally more likely to occur. Uterine sarcomas should be classified according to different pathological types, and the treatment plan after surgery is also different. Different, if it is in the early stage, total hysterectomy is generally performed

The patient asked 2020-08-25 11:59

The pathological results are precancerous lesions of the endometrium. The doctor recommended a total hysterectomy. I want to know this step in diagnosing precancerous lesions. After the uterus is removed and sent to pathology, is it more likely that it is cancer?

The doctor answered 2020-08-25 12:00

If The endometrium is a precancerous lesion. Most of these cases will be cured after the entire period, but the decision must be made based on whether there is myometrial invasion in the postoperative pathology after resection

Patient questions 2020-08-25 12 :01

In other words, we can only wait until the pathology comes out to determine whether it is cancer.

The doctor answered 2020-08-25 15:08

Yes, we must wait for the pathology to come out before making a decision

The patient asked 2020-08-25 15:09

But now that the pathology of uterine fibroid removal is precancerous, not cancer, is it likely that it will turn out to be cancer?

The doctor answered 2020-08-25 15:12

If it is a precancerous lesion, most of the time it is considered atypical hyperplasia, which generally has not developed into cancer

2020-08-25 11:56:53

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