WOMENS-HEALTH Messages for February, 2001: Re: Does this mean I have Invasive Cervical Cancer?

Re: Does this mean I have Invasive Cervical Cancer?

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 13 Feb 2001 15:18:59 -0600 (CST)

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In reply to: Me: "Does this mean I have Invasive Cervical Cancer?"

At Tue, 13 Feb 2001, Me wrote: >
>I just received my biopsy report and it states:
>
>Cervical Biopsy at 10 o'clock
>Multiple levels reveal fragments of endocervix with abundant squamous
>metaplasia. Foci of high grade squamous dysplasia is also present with
>disordered orientation and maturation and mitotic figures well above the
>basal layer. This process extends into the upper one third of the
>epithelium.
>
>Endocervical Cutterings
>Sections show scant fragments of squamous metaplastic cells with atypia
>and a few rare endocervical cells. Definite dysplasia is not
>identified. However, the endocervical component is so scant that it
>borders on unsatisfactory for an endocervical specimen.
>
>My question is does this mean that I have microscopic invasive cervical
>cancer?
>
>Or just severe dysplasia?
>
>Thanks a million for all your help.

You do NOT have microinvasive cervical cancer, or at least not on this biopsy. You have a small amount of severe dysplasia (focal), characterized by disordered orientation and maturation extending OUTWARD (not in towards the subdermal tissue) towards the surface of the epithelium.

-- 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.

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