WOMENS-HEALTH Messages for April, 2000: Re: Abnormal Pap

Re: Abnormal Pap

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 23 Apr 2000 14:59:58 -0500 (CDT)

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This is somewhat disjoinoted and not your fault since it comes second hand but my answers will have to be generic since I'm not sure what the abnormality is exactly and I'm not exactly sure what test was done.

At Sat, 22 Apr 2000, Pat wrote: >
>A very good friend of mine recently had her pap come back "irregular".
>She is 50 (I think, or at least within 2 years +/-), anyway this is the
>first time this has occured. Her doctor did another type of test
>yesterday, where they used two types of dyes to try to determine what
>was going on.

You don't mention colposcopy as the test. The "dyes" may be Lugol's solution which is an iodine based dye to see "abnormal areas" and it may have also been vinegar to "highlight" areas of the cervix under magnification using a green light filter.

>He told her he "wasn't able to see what he was looking
>for" and has now scheduled her for a biopsy next week.

Not clear what's going on here unless the exam came out "nonrmal".

>He told her
>since this last test didn't work,

Tests don't "work" or "not work". They either find the problem or they don't.

>"it" was coming from "higher up".

Makes me think of a pap reult known as AGUS (atypical glandular cells of undertermined significance) which can either be from the cervix lining or the uterine lining but I could be wrong given lack of info.

>The
>only info he gave her about this biopsy is that it is out-patient, they
>will take a cone-shaped sample from her cervix and she should plan to
>take a week off work.

Still may be AGUS and with a negative workup thus far, a cone biopsy and sampling of the lining of the uterus is indic

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Maybe in reply to: Pat: "Abnormal Pap"
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