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Cancer: Cervical & Ovarian Message Board

Cancer: Cervical & Ovarian Board Index

Re: Back Again
Aug 31, 2007
Hmmmm. You could have normal paps but still have dysplasia present and it just wasn't detected in prior tests. Paps are, after all, only a screening tool. I had 10 years of normal paps before my pap came back with severe dysplasia extending well into the endocervical canal. I had tx right away with a LEEP cone. This is why paps are recommended yearly--or biyearly depending on the type of pap used.

Your situation is EXTREMELY rare. When pregnant, your immune system is not as "strong" as normal and, therefore, I suppose progression could happen that quickly.

ITA with QUICK treatment of severe dysplasia. But, it is fact that not all severe dysplasia will progress to invasive cancer and, when it does, it OFTEN (but certainly not always) takes many, many years. There are more aggressive strains of CC, definitely. But, for squamous cell carcinoma (the most common type of CC with 90% of cervical cancers being found in the epithelium and 10% in glandular tissue), it just doesn't progress that quickly. Glandular cervical cancers are known to be quite aggressive and often spread very quickly. A common glandular cc is adenocarcinoma of the cervix.

Other than pregnancy, there could be other reasons yours progressed that quickly. Smoking is a biggie. Of course, general over-all health is another.

I was giving the original poster some reassurance because, even though quick progression can happen in rare cases, it is NOT likely. She was pretty upset and I was trying to calm her fears.

LEEP cone June 2005. Dx severe dysplasia (HGSIL). ASCUS pap May 2007.

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