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Cancer: Cervical & Ovarian Message Board


Cancer: Cervical & Ovarian Board Index


After my most recent Pap test, I was told my previous LGISL was now HGISL, so my doctor scheduled a colposcopy and biopsy. During the colpo, he biopsied two areas and did an ECC. When he called with the results, he explained that the biopsy showed no dysplasia, but inflammation, and made an appointment for me to have the LEEP procedure done because this conflicts with my biopsy last year which showed mild-moderate dysplasia. The year before that, I had a colposcopy, but no biopsy was necessary. I guess what I don't understand is why the pap would show dysplasia, but not the biopsies. Is it possible that the pap was inaccurate and maybe LEEP isn't necessary?
[QUOTE=ktr9;5188664]After my most recent Pap test, I was told my previous LGISL was now HGISL, so my doctor scheduled a colposcopy and biopsy. During the colpo, he biopsied two areas and did an ECC. When he called with the results, he explained that the biopsy showed no dysplasia, but inflammation, and made an appointment for me to have the LEEP procedure done because this conflicts with my biopsy last year which showed mild-moderate dysplasia. The year before that, I had a colposcopy, but no biopsy was necessary. I guess what I don't understand is why the pap would show dysplasia, but not the biopsies. Is it possible that the pap was inaccurate and maybe LEEP isn't necessary?[/QUOTE]
My gynecologist told me that the standard protocol with an HSIL pap is to do a LEEP if the colpo biopsy results are inconsistent with the pap smear. My biopsy results didn't show dysplasia either and after I read the report, I began to think there was an error with the pap, especially since i had never had an abnormal result before. (I went from 20+ years of normal paps to HSIL). I had the LEEP and it came back as CIN II/III with margin involvement so for what it's worth, I'm glad I had it done. I have done a lot of online research on this and standard procedure is that if your pap shows HSIL, your doctor will recommend the LEEP no matter what the colpo biopsy results show. This was a point of contention between me and my doctor because I wanted her to do the colpo exam and if she found anything, do the LEEP rather than the punch biopsies since it seemed pointless to add a step to the process.

Hope this is helpful.





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