WOMENS-HEALTH Messages for August, 2001: Re: Clarification of dysplasia staging

Re: Clarification of dysplasia staging

From: AJ (anonymous@obgyn.net)
Thu, 23 Aug 2001 09:58:18 -0500 (CDT)

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In reply to: Joy: "Clarification of dysplasia staging"
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Joy, The reason there is conflicting information in posts, is because there is also conflicting information on the net about this. At the time that I was diagnosed, my dr played it off that having CIN3 was nothing to worry about, very normal. When I went to a different gyn about it, he explained to me that I basically had pre-cancer, that I was as close to cervical cancer that a person could get without actually having cancer. All the information that I have looked up basically says the same thing. The following is from one of the web pages that I have found, I don't recall the addy that I found it at though :

"Each stage of dysplasia, or abnormal changes in the cells, is judged by the thickness of the cells that are abnormal. The earliest microscopic change is mild dysplasia or cervical intraepithelial neoplasia (CIN I). If not treated, the precancerous changes may become moderate (CIN II) and then severe (CIN III). The fourth, most severe stage of dysplasia is called carcinoma in situ (CIS). After that, cancer cells may invade deeper layers of the cervix or spread to nearby sites. At that point it is called invasive cervical cancer."

Then I have another page that states:

"Most scientists believe that cervical warts or pre-invasive cervical cancer may develop over a period of months or years after the cervix is infected with the human papilloma virus (HPV). This early tumor-known as mild dysplasia or cervical intraepithelial neoplasia (CIN) Grade 1 or most known recently as low-grade squamous intraepithelial lesion-can progress to moderate dysplasia (CIN-2), then to severe dysplasia and carcinoma in situ (CIN-3) or collectively known as a high-grade squamous intraepithelial lesion (SIL) and eventually to invasive carcinoma. Most physicians believe that about two-thirds of all cases of high-grade SIL progress to invasive cancer if left untreated. This transformation takes anywhere from 2 to 30 years, about 10 years on the average."

If you could get your medical reports from your doctor about this, it would be very helpful in finding out where you actually are. For me, I have a higher chance of getting cervical cancer because I have certain types of the HPV virus that are associated with cervical cancer.

--
If you get your doctors reports of the biopsy and want to further investigate it,
you can write me privately and I will give you sites that will help you figure
out where you are at. If you ever need to talk or anything else, feel free to
email me privately at any time. By the way I'm 22 years old, so this can happen
to anyone at any age.
Take Care and God Bless,
AJ

Next message: DLR: "Symptoms Present - Have Concerns"
Previous message: Lynn D. Montgomery, MD: "Re: Right side pain"
In reply to: Joy: "Clarification of dysplasia staging"
Next in thread: R. Daniel Braun, MD: "Re: Clarification of dysplasia staging"

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