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Re: A-typical cells

From: J.Glenn Bradley MD (anonymous@obgyn.net)
Sat, 11 Jul 1998 09:43:18 -0500 (CDT)


At Fri, 10 Jul 1998, Sandy wrote: >
>My 21 year old daughter had a biopsy last week after having an abnormal
>pap smear. Her doctor called today to schedule an appointment to have
>the A-typical cells lasered off. Is this the proper treatment. She
>also said that there is a chronic infection.
>Thank you.

'Atypical Squamous cells of undetermined significance"is a very common "abnormality" seen on screenig Pap smears.It really is saying"there are some odd looking cells on this smear, and we are not sure what they mean ,if anything". Usually we then lookat the cervix with a magnifying telescope (colposcope),and see if we can determine the source of these odd looking cells.Depending on what we see, a biopsy might be taken so a microscopic evaluation is possible. In most instances, nothing serious is found, and the patient might be advised to just repeat the Pap in 4-6 months. Coincident vaginal infections, which themselves can cause ASCUS smears are treated as well. Most ASCUS Paps if not associated with significant viral induced lesions will revert on their own with no treatment.

Dr.B




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