High risk endometrial Cancer - options

A transvaginal ultra sound has shown a 1cm polyp, free fluid in my uterus and a 20mm lining thickening. The consultant wants to do a hysteroscopy under GA in 3 weeks. From what I’ve read a thickening of 20mm of nor is automatically considered precancerous. I’m 52 post menopausal, obese and have PCOS the reason for referal was my new GP noticed I had been given the wrong type of progesterone for last 6 years as part of hrt putting me at higher risk. My tablets were changed and I had 2 heavy bleeds days apart My question is due to my anaesthetic risk and prognosis can I just cut to the chase and go straight for a hysterectomy? I don’t want to be at risk twice for what is an inevitable outcome without further delay. Do I have this choice? I have moderate hearing loss and find any hospital experience totally nerve racking, masks and strong accents make aiding my hearing with lip reading impossible, even more so when coming out of anaesthesia (my previous 2 GA experiences I’ve had to be given sedation post op due to distress/aggression I experience) I feel like the hysteroscopy is added risk and delay but I’m expected to just go along with it.

Parents
  • The only way to know if your consultant is prepared to skip the hysteroscopy is to contact them and tell them about your preference. I think they assume most people would rather not come under the knife if they can avoid it but many women I've spoken to would opt for a hysterectomy for various reasons especially after menopause.

    Good luck, I hope you get an option that suits you best and that it's not actually cancer even if you opt for the hysterectomy without the hysteroscopy because it's always better for it not to be cancerous.

  • (sorry, didn't notice that this was directed to the nurses. I hope they reply soon with more informed advice.)

Reply Children
  • Morning Lyns21, I’m glad I had the hysteroscopy. Because without the diagnosis and the biopsy, that they had found the cancer, and I had left it alone, they said that I will not be here in 2yrs time , and it would be too late. I couldn’t go through this with chemotherapy. It was bad enough to watch my mum having chemotherapy. My cancer was a low grade, and that is why I decided to have all the tests and have the full hysterectomy. You don’t have long scars anymore, it is all done by laparoscopic robotic keyhole surgery, where you stay in overnight and you recover quickly. Please have all the tests, biopsies and the hysteroscopy. It will save your life.