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Re: abnormal pap/normal biopsyFrom: Lynn D. Montgomery, MD (anonymous@obgyn.net)Thu, 28 Dec 2000 18:32:20 -0600 (CST)
At Thu, 28 Dec 2000, amanda wrote: > >Hi there, I had a slightly abnormal pap for the first time after the >birth of my first child 16 mos ago. A colp/biopsy was done, the biopsy >showed nothing, negative. I had a repeat pap 4 mos afterwards with the >same abnormal results, no dysplasia. After another colp/biopsy that was >negative again, I had to switch doctors. I had a pap done with my new >doctor, which showed slightly abnormal, favoring mild dysplasia, CIN1. >It was suggested to me to have a cone biopsy done, but then I became >pregnant again, so I couldn't go through with it. My doctor also said >that the lab that interpretted my pap did not have my prior paps to >compare them to, therefore might have assessed it worse than it really >was, since there was no dysplasia just 1 month before from my old >doctor. I have had one more colp done while i was pregnant, no need for >a biopsy, she said it still looked the same. What is your take on this? >Does it sound like I have cancer hiding somewhere? Could this be from >giving birth? Could I not have dysplasia due to the lab not comparing my >pap to previous ones? Please help put my mind at ease! Thank you..... If you are not pregnant anymore, then you need a thorough evaluation, including a colposcopy with biopsies. If you are still pregnant, then 6 weeks following delivery, you need the same evaluation... Lynn
-- Lynn D. Montgomery, MD Director, Maternal-Fetal Medicine Rocky Mountain Perinatal Center Missoula, Montana
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