WOMENS-HEALTH Messages for April, 2009: Re: ABNORMALPAP: HSIL/Abnormal Pap

Re: ABNORMALPAP: HSIL/Abnormal Pap

From: CLS (anonymous@obgyn.net)
Thu, 16 Apr 2009 13:47:46 -0500 (CDT)

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In reply to: dodgerfan2: "ABNORMALPAP: HSIL/Abnormal Pap"

I'm glad you have a copy of the lab report from the first biopsy. Make sure you get a copy of the second lab report. When I asked my first ex-doctor about the lab report, she was offended, even though by law, it's my right to see it.

However, your doctor should have explained all of this to you. In addition, I'd love to hear the reasons why another ECC wasn't done when the words specifically said "insufficient for diagnosis." Please get another doctor, immediately. When you do,

1. Get a thorough discussion of what you have, where it's located, how many cervical quadrants are involved, if dysplasia is in the endocervical canal, and if dysplasia is in the endocervical canal. The doctor can draw a picture if you don't understand.

2. If - and definitely if - you need surgery, get a full discussion of the risks and benefits of all your treatment options, along with possible future complications, before a recommendation. This is a requirement. All options have the same success rate. What a woman has depends on which one is appropriate, and too many doctors want to do the "treatment de jour." You want the doctor to do what is best for you and not what he or she prefers.

No matter who you choose to do, make sure you are fully educated so that your decision is informed.

At Tue, 14 Apr 2009, dodgerfan2 wrote: >
>am uncertain where to post such a question because most of the groups
>are specific but I saw this one and thought I'd ask, since there are so
>many.
>
>I am scared because I had a abnormal pap smear and it was HSIL (high
>grade). Now i had one (abnormal) in December of 2007, right before
>getting pregnant and it was LSIL (low grade). Actually, here is that
>pathology report:
>
>THIS IS FROM MY FIRST ABNORMAL PAP SMEAR IN DECEMBER OF 2007. I HAVE NO
>IDEA WHAT ANY OF THIS MEANS BUT I KNOW THE CURRENT ONE IS HIGH GRADE.
>
>GROSS:
>A—Received in formalin, and colpo 2 o’clock is a soft tan irregular
>tissue fragment which measures 0.4 x 0.3 x 0.2cm. Wrapped. The
>specimen is totally embedded. Number of cassettes: 1
>B—Received in formalin, labelledcolpo 11 o’clock is a slightly firm
>white irregular tissue fragment which measures 0.4 x 0.2 x 0.2cm.
>Wrapped. The specimen is totally embedded. Number of cassettes: 1
>C-Received in formalin, labelled ECC is an aggregate of soft cloudy
>white glistening mucoid material which measures 0.6 x 0.5 x 0.2cm.
>Wrapped. The specimen is totally embedded. Number of cassettes: 1
>
>kmn725:kl: 12/07/07
>MICROSCOPIC:
>Microscopic examination performed and description incorporated into the
>final diagnosis.
>
>DIAGNOSIS:
>
>A—CERVIX, BIOPSY FROM 2:00:
>LOW GRADE SQUAMOUS INTRAEPITHELIAL LESION (LSIL; MILD SQUAMOUS
>EPITHELIAL DYSPLASIA; CIN1).
>HPV CYTOPATHIC EFFECT.
>
>B—CERVIX, BIOPSY FROM 11:00:
>LOW GRADE SQUAMOUS INTRAEPITHELIAL LESION (LSIL; MILD SQUAMOUS
>EPITHELIAL DYSPLASIA; CIN1).
>HPV CYTOPATHIC EFFECT.
>
>C—ENDOCERVICAL CURETTINGS:
>SCANT BENIGN ENDOCERVICAL GLANDULAR EPITHELIUM, INSUFFICIENT
>FOR DIAGNOSIS.
>
>I am curious if any one of you has had any thing like this?! I'm freaked
>out.

Next message: smith: "CONTRACEPTION: questions about levora.."
Previous message: Wong: "Re: YOUNGWOMEN: Vaginal itchy"
In reply to: dodgerfan2: "ABNORMALPAP: HSIL/Abnormal Pap"

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