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
  • Hello and thanks for your post,

    I am sorry to hear about your concerns. it is difficult without being involved in your care to know what your doctors will say if you ask for an immediate hysterectomy.

    The doctors normally would like to assess a woman's womb before proceeding to this surgery.

    It is really only when the pathologist looks at the cells (from any biopsies that are taken) under a microscope that they can say for certain whether cancer is present.

    If the doctors are considering a hysterectomy they will also want to assess your general health and your anaesthetic risk if you are over weight as you say.

    Do discuss your concerns with your surgeon.

    Please get back to us if you need any more information or support.  You may find it helpful to talk things through with one of the nurses on our helpline.  The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    All the best,
    ​​​​​​​Catherine

Reply
  • Hello and thanks for your post,

    I am sorry to hear about your concerns. it is difficult without being involved in your care to know what your doctors will say if you ask for an immediate hysterectomy.

    The doctors normally would like to assess a woman's womb before proceeding to this surgery.

    It is really only when the pathologist looks at the cells (from any biopsies that are taken) under a microscope that they can say for certain whether cancer is present.

    If the doctors are considering a hysterectomy they will also want to assess your general health and your anaesthetic risk if you are over weight as you say.

    Do discuss your concerns with your surgeon.

    Please get back to us if you need any more information or support.  You may find it helpful to talk things through with one of the nurses on our helpline.  The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

    All the best,
    ​​​​​​​Catherine

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