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Cancer: Cervical & Ovarian Message Board

Cancer: Cervical & Ovarian Board Index

Re: Pap vs. DX
May 29, 2007

I read somewhere that Pap results are usually milder than the actual dysplasia. In my case this is true, but I've also seen others who had bad Paps and no dysplasia at all.

My experience has been as follows:

May and August 2005: Pap = ACS-US, Biospy = moderate/severe dysplasia (VAIN 2/3) No treatment at that time.

May 2006: Pap = ACS-US, Colposcopy did not show any areas to biopsy.

December 2006: Pap = LSIL, Biopsy = severe dysplasia/carcinoma in situ (VAIN 3/CIS) Laser surgery May 9, 2007.

You must remember, Pap tests are just swabbing cells from the cervix. You're not getting a deep sample of tissue as you do with a biopsy. This is why a lot of times the Pap results do not correspond with biopsy results. Also, with Pap tests, the area sampled may not be the area where the dysplasia or cancer is located. It's kind of just the luck of the draw, I guess. Sad that it has to be that way, but it's not an exact science.


(Another) Lisa

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