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Cancer: Cervical & Ovarian Message Board

Cancer: Cervical & Ovarian Board Index

IMHO, I think the LEEP better for a couple different reasons. 1. It is more accurate in getting affected tissue--it is about 90% effective in removing all abnormal cells and has a very low recurrence rate. 2. The tissue from the LEEP can be pathologically tested. Freezing is notoriously not as effective--the doc can't SEE if all cells were removed and, because the cells "slough" off over a period of time after the procedure, it's impossible for the doc to know if the entire lesion was treated. There's a higher recurrence rate with freezing.

In 2005, my pap showed LGSIL (low-grade squamous intraepithelial lesion) with high-risk HPV. I had a colposcopy. 6 biopsies were taken and an ECC (endocervical curettage) was performed. Doc prepared me for a cancer dx. Results were HGSIL (high-grade squamous intraepithelial lesion) affecting 60% of my exposed cervix. I had a LEEP with cone biopsy since I had major endocervical involvement. The margins were clear--doc got all cells. I had to get paps every 6 months after that. All were normal until now. My pap in May just showed ASCUS (atypical squamous cells of undetermined significance). In terms of "bad" pap results, this is the best to have. Most of the time it means NOTHING. However, because of my history, I'm very worried. The *good* thing is that the HPV test was negative.

Anyhow, good luck at your colpo. I found the whole thing to be completely painless and quick. Your doc will get a VERY good idea of what is going on at the colpo so you won't have to wonder. Bring questions to ask and make sure you discuss the treatments he/she uses.

Take care!

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