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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Any Chances Of Cancer If Pelvic Ultrasound Shows Endometrial Thickening And Mild Dysplasia In Pap Smear ?

i'm married with 2 kids. i recently had a pelvic ultrasound which shows endometrial thickness of 3.6mm is it normal? i've sticky white discharge and my recent papsmear shows mild dysplasia and trichomonas infection. there is any chance for cancer???????
Wed, 19 Mar 2014
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
The Pap smear shows infection with trichomonas vaginalis.
It is possible to get reactive and atypical cells on Pap smear in the presence of infection.
You need to take treatment for trichomonas and then get Pap test done again.
If there are no abnormal cells on releat Pap smear, they were probably due to infection.
If they still persist then you need to follow up.
A thickened endometrium can be due to hyperplasia or due to cancer.
You can get endometrial curettage/ endometrial biopsy to look for hyperplasia, atypia or malignant change.
You need to consult your gynecologist with the reports.

Thanks and take care
Dr Shailja P Wahal
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Any Chances Of Cancer If Pelvic Ultrasound Shows Endometrial Thickening And Mild Dysplasia In Pap Smear ?

Hello and welcome to HCM, The Pap smear shows infection with trichomonas vaginalis. It is possible to get reactive and atypical cells on Pap smear in the presence of infection. You need to take treatment for trichomonas and then get Pap test done again. If there are no abnormal cells on releat Pap smear, they were probably due to infection. If they still persist then you need to follow up. A thickened endometrium can be due to hyperplasia or due to cancer. You can get endometrial curettage/ endometrial biopsy to look for hyperplasia, atypia or malignant change. You need to consult your gynecologist with the reports. Thanks and take care Dr Shailja P Wahal