An abnormal finding – what happens next?

An abnormal gynecological finding does not necessarily mean cancer. However, it should be carefully assessed and, when necessary, investigated further. Precise diagnostics are essential to distinguish benign changes from conditions requiring treatment or possible malignancy.

As a specialist in gynecological oncology, Dr. Arsenakis has extensive experience in the evaluation of complex and abnormal gynecological findings. During his time as a senior physician at Nuremberg University Hospital, he performed more than 3,200 gynecological surgical procedures throughout his clinical career and managed a broad spectrum of benign and oncological conditions.

This extensive clinical and surgical experience enables a differentiated assessment of even complex findings, allowing diagnostic procedures to be used in a targeted manner and providing a sound basis for planning the appropriate treatment.

When is further evaluation recommended?

Specialist assessment may be appropriate in cases such as:

  • an abnormal Pap smear or positive HPV test
  • abnormal changes of the cervix, vulva, or vagina
  • unclear findings involving the uterus or endometrium
  • complex or suspicious ovarian cysts and masses
  • unusual or recurrent bleeding
  • postmenopausal bleeding
  • abnormal ultrasound, CT, or MRI findings
  • unclear histological findings or suspected gynecological malignancy

Targeted Diagnostics

The investigations required depend on the specific finding. In addition to a gynecological examination and specialized ultrasound assessment, diagnostic procedures may include colposcopy, hysteroscopy, targeted biopsies, and histological examination.

Existing medical reports, imaging studies, and pathology results are incorporated into the assessment. When required, additional imaging or further diagnostic investigations can be arranged.

Collaborative assessment. Clear planning.

Dr. Arsenakis is a member of the gynecological oncology team at IASO in Athens.

During the weekly Onco-Meeting, relevant findings and diagnoses are reviewed by a team of specialized gynecologic oncologists. Discussing complex cases within this specialist team allows diagnostic and therapeutic options to be considered from multiple expert perspectives and provides a structured basis for planning the next steps.

From Diagnosis to Treatment

If a condition requiring treatment is confirmed, the next steps are planned according to the diagnosis, stage of disease, and current medical standards.

With extensive surgical experience and specialist expertise in gynecological oncology, minimally invasive surgery, and robotic surgery, Dr. Arsenakis can provide continuity of care from diagnostic evaluation and treatment planning through surgical treatment and subsequent follow-up.

Existing reports and diagnostic findings can also be reviewed as part of a specialist second opinion.

An abnormal finding requires, above all, an accurate diagnosis and a clear plan for what comes next.