Patient's question:
I just had a missed miscarriage surgery (hysteroscopy and D&C), and there's an issue with the pathology report! The help I'm looking for: I just had a missed miscarriage surgery (hysteroscopy and D&C), and the pathology report says "villous-like shadows seen in purulent tissue." What does this mean? Based on this pathology report, was it scraped clean enough? Or not scraped clean enough? If it wasn't scraped clean enough, what measures are needed?Doctor's answer:
The pathology result after the miscarriage showed villous-like shadows in the purulent tissue. The pathology result is not very clear, as it could either be a normal intrauterine pregnancy or an incomplete molar pregnancy, which is not very clear from the report. It is not evident from the report whether the uterine cavity was completely scraped clean. Under hysteroscopy, the scraping is usually very clean. I recommend you take the pathology slides to a higher-level hospital for further review, and also have a blood test for HCG. Additionally, have a follow-up ultrasound examination. If it is a molar pregnancy, the HCG level will be significantly elevated, and the ultrasound will show something in the uterine cavity. If it is a normal intrauterine pregnancy, this situation will not occur.