WOMENS-HEALTH Messages for July, 2001: Hysterectomy for severe dysplasia

Hysterectomy for severe dysplasia

From: Karen (anonymous@obgyn.net)
Wed, 18 Jul 2001 20:38:11 -0500 (CDT)

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Reply: Harvey S. Marchbein, M.D.: "Re: Hysterectomy for severe dysplasia"

I'm posting an original question and response to which I have one follow-up question. What determines microinvasive presence referened in the response? The lab report references no invasion in the specimen, but I'm unclear as to the difference in terms. I'm 42 and children are no longer a consideration, but have had no other gynecological complaints, just the abnormal pap. Thanks again for your help.

-- Karen

<<<No, hysterectomy is not usually recommended in your case. If there is persistant recurrence or microinvasion, yes, then a hysterectomy might be appropriate. Age and future pregnancy wishes are a major factor as well. More frequent PAPs are conventional follow up. >>>

At Mon, 16 Jul 2001, Karen wrote: > >After undergoing a cone biosy for Grade III dyplasia, the lab report >showed carcinoma in-situ with no invasion, a high grade squamous >intraepithelial lesion. The dysplasia did not extend to the margins of >the biopsied specimen. > >Despite clear margins, my doctor is recommending hysterectomy as a >preventive measure. I tend to get somewhat emotionally attached to my >internal body parts, and hate to give them up unless absolutely >necessary. I plan on seeking a second opinion and am wondering what the >opinion on this forum might be. Is hysterectomy a typical treatment for >this level of involvement? Am I risking more than I'm gaining by taking >a wait and see approach with more frequent Paps? Thanks so much for your >

--
Karen

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