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Re: atypical endocervical cells--why an ECC?--one more question
From: anonymous (anonymous@obgyn.net)
Tue, 14 Nov 2000 14:29:13 -0600 (CST)
Dr. McIntosh, thank you so much for your response. From the
physician's point of view, do you have any insight as to why my doctor
may have changed her mind and asked me to return sooner rather than in 4
months? The fact that it seems more urgent now concerns me. Thank you
again.
At Tue, 14 Nov 2000, anonymous@obgyn.net wrote:
>
>At Tue, 14 Nov 2000, anonymous wrote:
>>
>>Recently my Pap smear results indicated atypical endocervical cells on
>>the endocervical smear favoring reparative process. My doctor
>>originally told me to return in 4 months for a repeat Pap smear but now
>>wants me to return for an "ECC biopsy" on my next period (3 weeks away).
>>I have a history of 10 years ago having CIN due to HPV, with cryo, cone
>>biopsy, and laser being done (3 episodes of CIN). Also my previous
>>doctor did not get an endocervical component on my annual Pap smears for
>>7-8 years (my results were normal but the quality of the smear was less
>>than optimal).
>>
>>Please tell me what this all may mean. I'm not sure how serious this is
>>and what my current doctor is looking for, since the cells seen on the
>>smear are atypical and not dysplastic. Might she think there is an
>>undetected cancer on the cervix, perhaps further inside? What are the
>>chances of cancer being present, based on the information above? Is my
>>doctor proceeding appropriately and being thorough and aggressive
>>enough?
>>
>>Thank you for your time.
>
>She doesn't know what is there, and she has no way to look and see, as
>with external cervical disorders, so she is going to do an EndoCervical
>Curretting so as to get a better sample from the endocervix so that you
>and she can have more confidence that atypical is really atypical, and
>not something worse.
>
>--
>William D. McIntosh, MD, FACOG
>
>This is for educational purposes only, and is not a substitute for consultation
>with, and examination by, a qualified medical professional.
>
>Due to time and energy constraints, I will be unable to answer any personal
>e-mails. Thank you for your consideration in this matter.
>
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