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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Plasma Cellular Chronic Endometritis Or Granulomas Not Seen In Examined Material Indicate?

Hi



I am 29 year old.

i have gone for enodmetrial biopsy, below are its details



Specimen Type: Endometrial Biposy

Clinical Data: Endometrial polyp

Gross Description: Multiple grey white bits measuring 1.3 * 0.8 * 0.8 cm (ETP)

Microscopic Examination & opinion:

Endometrium -

1) Late secretory, predecidualized, morophologically cycle day 25/26

2) Plasmacelular chronic endometritis or granulomas not seen in examined material.



But there is one report

PCR FOR KOCH's (A)

Test: AURO-TB-PCR-1

Sample: Endometrial Biposy

Result: Positive



Now i am confused that whether TB is there in my uterus or not? Because i got it checked from some where else but that report revealed that the immunopathological evaluation revealed the absence of Mycobacterium tuberculosis complex.

Please advice
Wed, 29 Oct 2014
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
Two investigations have been performed.
First investigation biopsy showed presence of chronic inflammation in the endometrium.
The second investigation- PCR showed presence of tubercular infection.

PCR is more sensitive test for detecting tuberculosis infection.
Thus, you are suffering from endometrial tuberculosis.
Anti-tubercular infection is required to treat the infection.
Consult your gynecologist for further management.

Thanks and take care
DR Shailja P Wahal
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What Does Plasma Cellular Chronic Endometritis Or Granulomas Not Seen In Examined Material Indicate?

Hello and welcome to HCM, Two investigations have been performed. First investigation biopsy showed presence of chronic inflammation in the endometrium. The second investigation- PCR showed presence of tubercular infection. PCR is more sensitive test for detecting tuberculosis infection. Thus, you are suffering from endometrial tuberculosis. Anti-tubercular infection is required to treat the infection. Consult your gynecologist for further management. Thanks and take care DR Shailja P Wahal