WOMENS-HEALTH Messages for February, 2008: Re: PAPSMEAR: Pap Smear Results from LSIL to HSIL

Re: PAPSMEAR: Pap Smear Results from LSIL to HSIL

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Tue, 5 Feb 2008 22:42:15 -0600 (CST)

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The good news is that cervical dysplasia (pre cancer) usually progresses very slowly to cancer. Sometimes it can take a decade or longer. The bad news is that if the colposcopy (and biopsy) reveal a high-grade lesion, also called CIN-III, then you will need treatment. Treatment in someone your age usually consists of either a cone biopsy (done in the operating room as a quick, outpatient procedure) or a LEEP procedure (done in the office) to remove the precancerous areas. If you smoke, then it is in your best interest to stop, and it is always a good idea to limit the number of sexual partners if this is an issue.

Gynecologists should be well-equipped to handle a high-grade Pap smear. Someone mentioned seeing a gynecologic-oncologist, which I do not understand. Those physicians treat cancer, and a high-grade Pap smear is not cancer. Although every physician is different, I have seen some gyn-onc physicians overtreat CIN-III and in your age group you want to be able to retain your ability to have children. Regardless, the cure rate after a cone biopsy appears to be around 90-95%, therefore you should do well. My sincere best wishes,

-- D. Ashley Hill, MD

At Tue, 5 Feb 2008, ANON wrote: > >I had my yearly less than six months ago and the results came back with >LSIL, my OBGYN gave me a colposcopy and he said that everything looked >fine, he didn't need to do a biopsy. Two weeks ago I had another one >done just to check on the situation and it came back as HSIL. I have to >go through the procedure again next month. I'm afraid if it progressed >that fast that it could progress to cancer fast also. What does it mean >if it progresses that quickly. I'm only 19 and freaking out, any advice >would be nice.

-- D. Ashley Hill, MD Division Director, Dept. of Obstetrics and Gynecology Florida Hospital Orlando Medical Director Loch Haven Ob/Gyn Group 235 East Princeton Street, #200 Orlando, Florida 32804 http://www.lochhavenobgyn.com

Please understand that due to time constraints I am unable to answer any personal emails, therefore they will receive no response.

These comments are general educational comments and should not be construed as specific medical advice. The best person to answer your health care questions is your physician or other health care provider. Thank you very much.

Next message: lmc: "GENERAL: anovulatory cycle"
Previous message: anonymous@obgyn.net: "Re: HYSTERECTOMY: Why the horrible pain 3 months later?"
In reply to: ANON: "PAPSMEAR: Pap Smear Results from LSIL to HSIL"
Next in thread: Garry Siegel, MD: "Re: PAPSMEAR: Pap Smear Results from LSIL to HSIL"

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