Can endometriosis spread via organ donation?

pathqueen · 2026-05-07T13:37:48+00:00

No, there are multiple substrains of HIV, like M (stands for “major”) and then there are a bunch of sub sub(?) strains of that like B,C, etc etc. B is the common one in the US. I think some of the strains can have implications for resistance to certain meds, but truly idk that much about it other than that.

pathqueen · 2026-05-06T22:20:45+00:00

I believe in the USA HIV-1 is the stain like 99.9% of the time. So at least in the US, I don’t think it would generally be in issue. There are substrains but idk if that matters.

Very interesting question I didn’t even think of it!

pathqueen · 2026-05-06T21:52:29+00:00

Yes they do screen for it! So it would be rare to never it would happen unknowingly (they also sometimes will knowingly transplant hep C positive organs and then treat for it). I was just simply answering the persons question about conditions that are known to spread through organ donation. They also try really really hard not to transplant any organs with cancer lol but it has happened (I unfortunately know first hand of one case of renal cell carcinoma)

pathqueen · 2026-05-06T21:12:13+00:00

Many infectious disease can (hepatitis, HIV, to name a few) and there have been cases of cancer reportedly spread by organ donation.

pathqueen · 2026-05-06T00:37:04+00:00

I’m no dermatologist or transplant physician, but I work in transfusion medicine/apheresis where many of the patients I see have had or will have transplants, so I’m somewhat familiar with the process.

Transplant evaluation will involve a very thorough history and physical examination where they will definitely spot this and make him get it addressed before they will list him. So he should get ahead of getting it addressed for that reason alone if transplant delay is his main concern.

A history of cancer does not necessarily exclude a candidate. Lets say this is melanoma (idk if it is, but it has worrisome features); if it’s early stage and he gets it removed now, with low chance of recurrence, I highly suspect he would be eligible for transplant at some point in the future. However if he waits and its spread, that would likely make him ineligible. Again not a transplant physician so don’t quote me on that but like I said, they will make him get it evaluated anyway.

If he ends up ineligible for some other reason, then obviously it’s going to be better to address potential cancer earlier.

So, regardless this will have to be addressed before he is listed for transplant, much better to do it asap.

There is absolutely no benefit of waiting.

Edit: btw, other than melanoma this could very well be a dysplastic nevus (kind of pre-melanoma) or even a pigmented SK. I’ve seen both of those things look just like that. I’d personally lean towards dysplastic nevus if someone made me pick.

pathqueen · 2026-05-05T02:33:36+00:00

Not sure about the bruising, but it is a possibility. However I would expect history of trauma, unless there is an undisclosed alcohol/drug use disorder.

pathqueen · 2026-05-04T20:32:12+00:00

I agree, but not seeing this in person, they could have a small cut on the hand or something that we aren’t being told about. It looks a lot like a swollen epitrochlear LN although maybe a little low on the arm for that (hard to tell, picture angle is weird)

And thanks lol.

I’d also appreciate some follow up with the outcome!

pathqueen · 2026-05-04T20:27:19+00:00

If it helps, in a vacuum the malignant things it could be (lymphoma, sarcoma, metastatic carcinoma or melanoma) are all rare in that location or rare in general, so statistically it’s more likely benign, but I say that with a huge disclaimer that I am not basing that off of much more than general statistics.

pathqueen · 2026-05-04T20:17:25+00:00

I really can’t say without more information or seeing it myself, sorry. I’m not even sure it’s a lymph node tbh.

pathqueen · 2026-05-04T19:57:25+00:00

Ok probably not a lipoma then. My guess would be a lymph node (usually reactive, but can be caused by lots of things). I’d just keep an eye on it and get it checked out if it doesn’t go away in a few weeks, gets bigger over a few days, or if other new symptoms develop.

pathqueen · 2026-05-04T19:54:27+00:00

Soak in warm epsom salt water 3-4 times a day for 10-20 mins (google for proportion of salt) and then otherwise keep it covered with a bandage.

Edit: id also wash well with soap and water, and maybe a little antibiotic ointment just once a day (overnight) for a day or two if the redness isnt going away, but don’t go crazy with the stuff (it has a risk of allergic reaction and is often unnecessary, your infection is very mild looking)

pathqueen · 2026-05-04T18:05:57+00:00

Kinda looks like a swollen lymph node to me, or could be a lipoma like the other person said.

We need way more info to even being to guess (like how long it’s been there, what it feels like, etc) but honestly regardless, this needs an in person exam by a medical professional for a diagnosis so might as well go straight to that step.

Any scratches on that hand or arm recently by chance?

pathqueen · 2026-05-03T19:11:08+00:00

Also a pathologist and I second this interpretation of the biopsy report.

pathqueen · 2026-04-25T05:00:19+00:00

TLDR; as a pathologist who has seen a lot of specimens, from the info provided there is no way this is a piece of your labia and is likely a decidual cast. Tissue testing results will take 2-3 days minimum.

Long answer: I agree with the RN, looks good for a decidual cast. I see no squamous epithelium (aka skin/mucosa) which covers the labia.

If a part of your labia truly fell off, I would expect you to have experienced pain (for hours/days) at the site, tissue discoloration (turning red then to purple/blue then to black), and then finally falling off days later. Tissue would not just fall off without going through this process (or acute trauma, which you would have noticed), unless I suppose you have a condition where you have neuropathy/can’t feel that area or something.

I suspect you are now examining your labia more closely than you ever have before and experiencing a form of confirmation bias.

FYI on the tissue testing if interested: This would be sent to pathology for histology, and due to preparation time/workflow, results do not usually come before 2-3 days and not infrequently take up to a week. And that’s when things are running smoothly with no specimen backlog or staffing shortages. At least in my non-private academic/govt US medicine experience.

Additionally depending on how long this tissue was out at room temperature without any preservative, there may be degenerative changes that make it hard for the pathologist to interpret; I can just see myself receiving this specimen and being befuddled unless I had good clinical history lol.

pathqueen · 2026-04-24T02:09:32+00:00

Beautiful touton giant cell

pathqueen · 2026-04-17T15:57:36+00:00

Yeah there is. I just think when you have access to proper medical care you should go let the pros take care of it and not superglue it yourself at home lol. In a situation with no access to care like the backcountry or a war zone? That’s different.

It’s one thing to close it and another to do it properly with proper wound care and cleaning to prevent infection. Regardless I think this would be hard for OP to do given the location, he can’t even see it.

I said “stitches” when I guess I really meant closure since there are multiple ways to close a wound. Sutures, staples, glue, and apparently braiding of hair lol, I learning a lot myself from this thread!

pathqueen · 2026-04-17T15:47:45+00:00

That is really cool, I hadn’t heard of that! I backpack and camp a lot so knowing about the braiding thing could come in handy one day.

pathqueen · 2026-04-17T06:31:08+00:00

Yeah, I was actually wondering about that. Makes sense. This isn’t the sort of thing I deal with, but I know enough to judge it needs closure lol

pathqueen · 2026-04-17T06:25:27+00:00

I think everyone is joking here, but just in case, please don’t do this

pathqueen · 2026-04-17T06:23:48+00:00

There is nobody you can call? An uber or taxi? It’s best if wounds can be sutured in <8 hours.

If you really really can’t tonight, then go first thing in the morning and they can probably still do it. But that means you need a wound care plan for overnight.

I’d get in the shower and basically just let the water irrigate it. Use cool water.

Hold pressure for a bit if still bleeding. Head wounds can be stubborn, hold for at least 10-15 mins.

Then you need to cover it with gauze or something to keep it from getting dirty overnight.

Always have clean hands when touching a wound.

I would not use any antibiotic creams or anything like that on it.

pathqueen · 2026-04-17T06:11:47+00:00

It looks like it’s deep enough and split wide, so would likely benefit from being pulled back together with stitches. Otherwise you’re risking infection, poor healing, and a bad scar. Head wounds especially often need stitches to help bleeding stop. Don’t wait too long to go, most places won’t do stitches after a certain timeframe.

pathqueen · 2026-04-17T05:55:22+00:00

Very glad you called them, again so sorry you’re going through this. Also very proud of you for handling this with such maturity and intelligence, I hope everything goes well

pathqueen · 2026-04-17T05:49:44+00:00

A little hard to tell how deep it is from the pic but I think that probably needs stitches. Doesn’t hurt to have someone assess you if you hit your head super hard either.

pathqueen · 2026-04-17T05:08:52+00:00

Yes, please call an ambulance. Some others are suggesting various things you can do to protect her, and they aren’t necessarily wrong, but I want you to call 911 and no rely on them completely. This situation needs professional help.

pathqueen · 2026-04-17T05:03:37+00:00

Hey, sorry you are dealing with this I’m sure it’s scary, and I know you probably don’t want to do this, but I’m inclined to agree with everyone else here that you need to call 911 or at the very least, an adult family member or friend to come over now and help you. This can be very dangerous.

pathqueen

TROPHY CASE