WOMENS-HEALTH Messages for June, 2000: Re: Changes in Biopsey's for dysplasia

Re: Changes in Biopsey's for dysplasia

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 29 Jun 2000 07:47:46 -0500 (CDT)

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In reply to: Susan: "Changes in Biopsey's for dysplasia"

At Thu, 29 Jun 2000, Susan wrote: >
>I had a pap come back in June with HGSIL and no indication of HPV. (all
>previous 12 month paps have been normal). When I went to the doctor
>office we did a colcopsy and I had a sever infection. He took 6 punch
>biopsey's blind (could not see suspecious areas because the infection
>was so bad). Three of those biopsey's came back with sever dysplasia
>CIN III. After taking medicine for the infection the doctor took 3 more
>punch biopsey's of areas that he could now see looked suspecious. Those
>biopsey's came back normal with mild inflamation. Do I still have CIN
>III? Could the infection have caused the original biopsey results?
>
>--
>Susan
>

Susan, I am not really sure why the biopsies were done before the infection was treated. Now you really do have a dilemma. I think that it is impossible to know for sure at this point. There is really no "right" answer to this situation. I would probably wait a month or so and repeat the colposcopy. I would feel very uneasy relying on the second "normal" findings given the previous finding-infection or not. Pap interpretation can be variable, but I would find it hard to believe that an infection would cause cells to appear severly dysplastic... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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