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Gynecology

Endometrial cells in pap smear of post-menap.

04/14/2008

Question:

My gynecologist just called to tell me that my Pap smear results were normal but there were endometrial cells present. I am post-menapausal (60 years old with ovaries removed). She wants to do a biopsy and an ultrasound. Are both really necessary? I had an ultrasound five months ago and the results were normal. How concerned should I be?

Answer:

Endometrial cells in a woman who is post menopausal is not considered normal. These are cells that are shed during menses. Sometimes a postmenopausal woman will shed some cells, but it could also be from abnormal/precancerous cells in the cervix or lining of the uterus. An ultrasound will be to look for the possibility of cancerous cells in the uterus. The cervix also needs to be evaluated with a microscope and a biopsy taken.

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Response by:

Thomas  A deHoop, MD Thomas A deHoop, MD
Formerly Associate Professor of Clinical Obstetrics and Gynecology
Director, Medical Student Education
No longer associated