WOMENS-HEALTH Messages for March, 1999: Re: Perplexed over biopsy results

Re: Perplexed over biopsy results

From: William D. McIntosh, MD (anonymous@obgyn.net)
Thu, 25 Mar 1999 11:04:25 -0600 (CST)

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In reply to: clp: "Perplexed over biopsy results"
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At Thu, 25 Mar 1999, clp wrote: >
>Last Friday, 3/19, my Dr. performed LEEP for what the colposcopy said
>was severe dysplaisia. I even saw the colposcopy results myself which
>stated "carcinoma in situ."
>
>Wednesday, I got the results from my Dr., and he said that they had
>gotten all of the bad cells. He also said that all they found in the
>entire cone sample was 1 or 2 spots of mild dysplaisia. I was confused,
>and he even seemed somewhat perplexed, because he is going to call the
>lab and have them read the colposcopy resuts again! How could this
>happen? What is the margin for error in the labs? Did I have part of my
>cervix removed for nothing?
>
>Thank you in advance.
>
>--
>cpenn
>

There are a couple of possible explanations. The first is lab error, either with the colposcopy biopsy, or with the LEEP biopsy. Another possibility is that the severe dysplasia/CIS was limited in area, and the biopsy either removed it entirely, or the tissue reaction that followed the biopsy resulted in tissue remodeling and improvement of the disease stage. Depending on the interval between the colposcopy and the LEEP, there could have even been resolution of the CIS just from time alone.

-- William D. McIntosh, MD Clarksville, TN

This is for educational purposes only. It is not intended to replace consultation and examination by your physician or other health care provider.

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In reply to: clp: "Perplexed over biopsy results"
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