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Cancer: Cervical & Ovarian Message Board


Cancer: Cervical & Ovarian Board Index


LEEP Help
May 3, 2016
I have not had much luck with getting my doctor to explain my results of my LEEP procedure in words that I can understand. Right now, it’s a lot of big words I don’t understand and her lack of empathy is really frustrating me.

A little background, I am 26 years old, non-smoker, occasional drinker. I had an abnormal pap and a colposcopy in 2010 which showed mild dysplasia – no further treatment or any further issues. On February 23rd of this year I had another abnormal pap and a colposcopy March 29th which showed CIN III @ 9 o’clock & 1 o’clock & CIN II @ 7 o’clock – treatment was a LEEP procedure April 6th.

My doctor called to discuss the LEEP results and said that I will follow up in 4-6 months for a repeat pap, an HPV test, and then she said something about swabbing inside my cervix (!?! ). Because I was at work and not able to ask questions, I have called back to speak to her, her boss, and a nurse but no one has been able to break it down to where I understand what is going on. I pulled the report off of their website, but of course that doesn’t make any sense either.

Is anyone able to help? :confused:

Thanks,
Shan

CLINICAL DIAGNOSIS AND HISTORY:
26 yo G0 with LMP 24Feb2016 using nothing for contraception presents to
clinic for LEEP for CIN 2 at 7 o'clock and CIN3 at 9 and 1 o'clock.

PRE-OPERATIVE DIAGNOSIS:
CIN2-3

POST-OPERATIVE DIAGNOSIS:
Operative Findings: entire lesion seen without uptake of lugols from 9-11
o'clock, stitch at 12 o'clock
Post-operative Diagnosis: moderate dysplasia

GROSS DESCRIPTION:
A. Specimen is received in formalin labeled "G, LEEP" and consists of
a round, soft and rubbery-like, LEEP specimen that measures 2.2 x 1.6 x
0.4 cm. The specimen is characterized by the presence of a round 0.2 cm
in maximum diameter apparature, a tan shiny mucosal surface and an
opposite light tan rough surgical margin. A white nylon stitch is found
to be tagging the specimen and which will be known from this moment on as
the 12 o'clock position. The surgical surface is inked black and the
specimen is serially sectioned from the 12 o'clock position in a clockwise
manner to reveal a tan homogeneous cut surface. The specimen is submitted
ET in cassettes A1 through A4, steps.

Section key:
A1 - 12 to 3 o'clock.
A2 - 3 to 6 o'clock.
A3 - 6 to 9 o'clock.
A4 - 9 to 12 o'clock.

FINAL DIAGNOSIS:
(A) CERVIX, LOOP ELECTROSURGICAL EXCISION PROCEDURE (LEEP):
- TRANSFORMATION ZONE MUCOSA WITH HIGH-GRADE SQUAMOUS INTRAEPITHELIAL LESION (CIN 3 / SEVERE DYSPLASIA) WITH FOCAL ENDOCERVICAL GLAND INVOLVEMENT.
- POSITIVE ENDOCERVICAL AND CAUTERIZED SURGICAL MARGINS.
- PREVIOUS PROCEDURE SITE CHANGES.





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