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Dr. Andrew Rynne

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Shoul all facts in a pathology result be shared by a doctor?

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Dr. Aarti Abraham

OBGYN

Practicing since :1998

Answered : 6000 Questions

Question
Do doctors always have to give you all the facts regarding your pathology results, examinations, etc.? I recently received a diagnosis of endometrial adenocarcinoma, endometrioid type FIGO 1. I'm pretty sure my first gynecologist didn't tell me everything, because he held back on the Pap results. Now I'm going to a gynecological oncologist who has me scheduled for a complete hysterectomy in two weeks. He's telling me that I have an 85% chance of a complete cure with the hysterectomy alone. I want to relax and concentrate on the 85% as he has told me to. But I just can't. I still fear he may be holding back like the other doctor!
Tue, 5 Aug 2014 in General Health
 
 
Answered by Dr. Aarti Abraham 53 minutes later
Brief Answer:
RELAX, ALL FACTS ARE GENERALLY ALWAYS TOLD

Detailed Answer:
Hello
Thanks for writing to us with your health concern.
Yes, your doctor cannot hide or falsify the staging of a malignancy.
The facts regarding the pathology results and examinations have to be made pretty clear.
SO if you are given a FIGO 1, you are that , and not more.
YEs, you have more than 85 % chance of complete cure with the surgery alone, as you are in the best possible earliest stage.
So do relax and take a deep breath.
I can understand your anxiety, but I see no reason why your initial doctor held back on the Pap result.
Probably he wanted to corroborate with the endometrial biopsy and inform you regarding both together ?
Why dont you ask him straight out about the withheld Pap result, because it is a deviation from standard practice.
Stay assured.
Prayers for you.
All the best
Please feel free to discuss further.
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