WOMENS-HEALTH Messages for February, 2000: Re: 1 abnormal pap now colposcopy, invasive?

Re: 1 abnormal pap now colposcopy, invasive?

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 10 Feb 2000 20:32:58 -0600 (CST)

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In reply to: M.: "1 abnormal pap now colposcopy, invasive?"

At Thu, 10 Feb 2000, M. wrote: >
>I'm 24 & never been pregnant. Had a normal pap 4 yrs. ago & then my
>OB/GYN moved out of state. In the meantime was searching for new Dr.
>Found one. Went to new Dr. and had a pap done for a yearly just a few
>weeks ago. During my pap the Dr. says to his nurse to write up a
>prescription for Terazol 7 because I have a slight yeast infection. Then
>I get a call from this Dr.'s office stating my pap came back CIN I &
>that they wanted to do a colposcopy. Went for colposcopy yesterday &
>during it Dr. says that it all looks very normal. But went ahead &
>took a biopsy & scrap. Is this evasive?? Also when I look on the screen
>& see my cervix I notice 3 blue spots(look like real light bruises) I
>ask the nurse what this might be & she says they don't really know.
>Concerned.

Biopsy is done most of the time whe a colposcopy is done. I like to simplify and say that Pap says something is wrong, Colpo says here is where it is at, and biopsy says this is what it is. In general the colposcopic signs of Invasive cancer are rather subtle. The less important ones stand out and hit you in the face, but the real important ones are subtle and then we don't see them very often, because invasive cancer of the cervix is really so rare. Prior to pap smear it was number one female cancer, now it is about number 35. The pap smear finds and then we treat precancer.

--
R. Daniel Braun, MD FACOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

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