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Re: Why an immediate biopsy? From: William McIntosh, MD (anonymous@obgyn.net) Tue, 28 May 2002 22:46:25 -0500 (CDT) Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: William McIntosh, MD: "Re: Please Help" Previous message: William McIntosh, MD: "Re: Likeliness of pregnancy with a pap smear" In reply to: Jennifer: "Why an immediate biopsy?" At Tue, 28 May 2002, Jennifer wrote: > >I just had a Pap done and got a call from the doctor. They just told me >the test came back abnormal and that i need a coloscopy and biopsy. Does >this mean they already know the condition is moderate to severe? I keep >hearing that in minor cases they will only monitor and do repeated Paps. >Should i be concerned? It really depends on what your pap showed. Atypical paps may simply be repeated in 4-6 months. However, they form only about 5% of all abnormal paps. The majority show either Low Grade Squamous Intraepithelial Lesions (SIL)or High Grade SIL. These findings warrant a colposcopy, and usually a biopsy as well. Once a diagnosis is made, the LGSIL is usually just tracked with a series of paps. HGSIL needs treatment. The point is that a pap is a screening test, not a diagnostic test. If there is evidence that something is wrong, you need to get a diagnosis made, and that is what a colpo and possible biopsy is for. -- William D. McIntosh, MD, FACOG This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional. Next message: William McIntosh, MD: "Re: Please Help" Previous message: William McIntosh, MD: "Re: Likeliness of pregnancy with a pap smear" In reply to: Jennifer: "Why an immediate biopsy?"

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