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Re: agcus cells in favor of endocervical

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Sun, 8 Nov 1998 00:51:35 -0600 (CST)


At Sat, 7 Nov 1998, carolyn wrote: >
>Can someone please tell me what agcus cells in favor of endocervical is?

It sounds like there is a little information missing, but basically, AGUS means there are atypical glandular cells in the Pap smear. If it "favors" endocervical, that means the Pap smear *likely* shows abnormal endocervical cells. Pap smears are obtained from the outer portion of the cervix (squamous cells), *and* the inner canal, called endocervical cells.

Although only about 0.4% of Pap smears reveal abnormal endocervical cells, 1/2 are normal, but 1/2 are very abnormal. These are the ones we worry about. The endocervical canal is the "inner" part of the cervix, up inside the canal. This part is hard to see, and hard to obtain a Pap smear from. Therefore, abnormal, precancerous cells, can hide out inside the canal.

I evaluate women with pap smears like yours by doing a colposcopy (looking at the cervix with a magnifying lens) and, if necessary, by taking a tiny biopsy. Since abnormal endocervical cells can be dangerous, please follow up with your gynecologistl

--
Ashley Hill
David Ashley Hill, M.D.
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
Orlando, FL
http://home.mpinet.net/dahmd

The above is intended for general medical education, and is not for specific medical advice. I apologize, but I am unable to answer personal e-mail due to time constraints.






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