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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Granular Tissue On Vaginal Cuff. Treated With Silver Nitrate And Have Sent Some For Biopsy. Scar Tissue Or Cancer?

I had a robotic hysterectomy last May for precancerous cells in the lining of the uterus. When they did the surgery, they found a boarderline tumor on my left ovary. They removed everything including 7 lymph nodes on my left side and pelvic tissue. Everything came back clean. I just had a 5 month check-up, and my gyn./oncologist said that I had granular tissue on the vaginal cuff. She scraped some off to biopsy, and then used the silver nitrate to treat it. I am concerned about the biopsy. I just had it done yesterday, so I haven't had time to get the results yet. I guess what I want to know is what she is really looking for the biopsy to tell her? Is she concerned about cancer spreading there? She acted like it could be scar tissue. If it is scar tissue, does the silver nitrate usually take care of it with one treatment, or does it sometimes take multiple treatments? It all took me so off guard that I didn't think to ask her any of these questions when I was there yesterday. I was having some dull cramping once in awhile, and I had spotting one time since surgery, plus a yellowish discharge sometimes which, now that I've read about granular tissue on the vaginal cuff, I realize that these were all symptoms of that. Anything you can tell me about granular tissue would be helpful. Thank you.
posted on Tue, 5 Nov 2013
Twitter Tue, 5 Nov 2013 Answered on
Twitter Tue, 5 Nov 2013 Last reviewed on
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OBGYN,  's  Response
Hello
Thanks for your query.
See, basically, you have a scar on the vaginal cuff, where you had been cut open and then stitched back.
It is common for granulation tissue to grow on the scar, that is new tissue growing there.
It is not at all cancer.
Silver nitrate generally takes care of it in a single sitting.
A biopsy is required, because, rarely, there could be pre malignant or malignant changes therein, which need to be excluded while you are at it.
You should not worry about it, and wait for the biopsy.
If your doctor had suspected cancer, she would have told you so, i think, and you would have had symptoms too.
As you have a history of malignancy, hence the biopsy was in order.
All the best.
Take care.
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Granular Tissue On Vaginal Cuff. Treated With Silver Nitrate And Have Sent Some For Biopsy. Scar Tissue Or Cancer?

Hello Thanks for your query. See, basically, you have a scar on the vaginal cuff, where you had been cut open and then stitched back. It is common for granulation tissue to grow on the scar, that is new tissue growing there. It is not at all cancer. Silver nitrate generally takes care of it in a single sitting. A biopsy is required, because, rarely, there could be pre malignant or malignant changes therein, which need to be excluded while you are at it. You should not worry about it, and wait for the biopsy. If your doctor had suspected cancer, she would have told you so, i think, and you would have had symptoms too. As you have a history of malignancy, hence the biopsy was in order. All the best. Take care.