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Cancer: Cervical & Ovarian Message Board


Cancer: Cervical & Ovarian Board Index


Hi there ladies,
I need some support b/c I'm totally bummed about my damned cervix.
I had CIN III a little over a year ago and was actually referred to a Gyn. Oncologist for my treatment. I had surgery on my cervix in August of '05 (laser) followed by a couple of follow-up exams and one clear pap smear in Feb of this year. I was elated to have it all over with! I know several women who have had similar experiences being that HPV and the resulting problems are very common, but none of them have had a recurrence since their leep or cryo, or whatever their procedure was. Well I just had an abnormal pap, so in one year since surgery and only 6-8 months from my last normal pap, I have A low grade squamous intraepithelial lesion again and they want to do the standard colposcopy and biopsy before the end of the year.
I have called my oncologist and I am hoping for some help, but I am needless to say very worried, upset and stressed that in only one year I have problems again.
Has anyone had a similar experience with recurrence of abnormal cells soon after having a procedure to rid of them?

Thanks everyone for your help.
Meg
CIN I is sometimes seen after LEEPs. It could be due to neoplasia/healing and other benign reasons. From what I understand, it doesn’t mean it’s certain to progress, even if you had high-grade dysplasia before and have a high-risk HPV.
I’m certain you don’t smoke, correct (I used to *shame*). Smoking and lack of oxygen can also contribute to recurrence, since toxins accumulate in the mucus of cervix (as much as 30%).
I’d probably google some info on this, maybe using “significance of CIN recurrence after LEEP”, etc, as key words.


I’ve also had LEEP done for which turned out CIN II, glands fine (but was originally biopsied at colposcopy as CIN II and III with glandular involvement).
So I’ll be waiting for my first PAP anxiously as well. I understand aside from smoking and HPV, sometimes it’s said that involvement of endo-cervical canal and margins status, age, location and size of lesion, etc, may contribute to recurrence, but supposedly only if 3 or more combined factors are present?

Do you know the exact pathology after your LEEP and margin status?

Yes, I think doing colpo and biopsy ASAP would be helpful. If the results are clear, you will just have to have another PAP in 4-6 mo I guess.

Please don’t worry now, CIN I in this case may have no significance; it seems that PAP results aren’t always 100% accurate (that’s why we have colpos, right). Schedule one, I hope for the best/negative results for you as well, take good care.
[QUOTE=niarules]CIN I is sometimes seen after LEEPs. It could be due to neoplasia/healing and other benign reasons. From what I understand, it doesnít mean itís certain to progress, even if you had high-grade dysplasia before and have a high-risk HPV.
Iím certain you donít smoke, correct (I used to *shame*). Smoking and lack of oxygen can also contribute to recurrence, since toxins accumulate in the mucus of cervix (as much as 30%).
Iíd probably google some info on this, maybe using ďsignificance of CIN recurrence after LEEPĒ, etc, as key words.


Iíve also had LEEP done for which turned out CIN II, glands fine (but was originally biopsied at colposcopy as CIN II and III with glandular involvement).
So Iíll be waiting for my first PAP anxiously as well. I understand aside from smoking and HPV, sometimes itís said that involvement of endo-cervical canal and margins status, age, location and size of lesion, etc, may contribute to recurrence, but supposedly only if 3 or more combined factors are present?

Do you know the exact pathology after your LEEP and margin status?

Yes, I think doing colpo and biopsy ASAP would be helpful. If the results are clear, you will just have to have another PAP in 4-6 mo I guess.

Please donít worry now, CIN I in this case may have no significance; it seems that PAP results arenít always 100% accurate (thatís why we have colpos, right). Schedule one, I hope for the best/negative results for you as well, take good care.[/QUOTE]


What a great and helpful post, thank you. Actually, I DO smoke. I was not aware of the impact that it may have, and perhaps surprisingly my oncologist didn't ever mention that to me. Hmmm...the gears are really turning in my brain now.
Anyway, I do not know of the pathology and also margin status...actually I am not entirely sure of the surgical procedure that I had...It was not a LEEP. I was put completely to sleep for it with a sort of mild "twilight sleep" sort of anesthesia, in an outpatient hospital, even though my surgery only lasted 20 min. From what I understand it was a laser procedure, but due to my lack of knowledge adnd recent concern over how much I do not know about what happened to me, I have a call in to the oncologist to get more details. I faxed him my pap results from last week today and we will be talking early next week.

In terms of my original lesion, from what I understand CIN III over a year ago for which I was sent to the Oncologist and underwent my surgery for, I believe that I had "bad cells" on my vaginal walls as well as covering my cervix. Due to this, perhaps what you mentioned about "size of lesion" may have something to do with the recurrence I am experiencing.

I appreciate all of your input. I wish you well on your pap results, I truly understand how nervewrecking this waiting period can be.

I must admit that a little humor helps sometimes...find a friend that can stomach and appreciate the vulgar stuff and tell him/her about how you fear your cervix looks like a slab of used ground meat. OK sick, I know, but I make jokes about mine b/c it helps me.

-Meg





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