WOMENS-HEALTH Messages for July, 1999: Re: AGCUS pap after LEEP procedure for severe dysplasia

Re: AGCUS pap after LEEP procedure for severe dysplasia

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Sat, 3 Jul 1999 01:14:49 -0500 (CDT)

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Reply: Shannon: "Re: AGCUS pap after LEEP procedure for severe dysplasia"

At Fri, 2 Jul 1999, Shannon wrote: >
>Hi-I'm 30 years old and recently had a pap done that came back AGCUS. I
>am 13 weeks post-LEEP for CINIII. My recent colpo showed nothing. Could
>this pap result possibly be the result of a cervix that is still
>healing? I have had three ECCs in the past year (one with the LEEP
>procedure, margins being negative for dysplasia) and they all came back
>negative. SO, I have an appointment to have another ECC and endometrial
>biopsy next week. Are AGCUS results uncommon after LEEPS or are they
>possibly not even related. Any help would be appreciated. This
>troubles me, and I actually thought that I was done with all this mess
>until this. Thanks.

AGSUS is Atypical Glandular Cells of Undetermined Significance -- you are scheduled for the appropriate evaluation -- endocervical currettage (ECC) and endometrial biopsy. These two areas are the potential source for the atypical glandular cells. AGCUS is not as common as ASCUS (atypical squamous cells). Your AGCUS may be related to the LEEP in that you may have a process which has affected both types of cervical cells, or you may have an unrelated process in hte uterine cavity -- or even nothing wrong at all -- "undetremined significance" means we don't really know what the course would be if left uninvestigated or untreated -- all AGCUS signifies is that we have to look furhter to find out if there really is a problem in the first place.

It sounds as if your doctor is following and treating you appropriately. Good luck.

--
Kelly Shanahan, MD, FACOG
S. Lake Tahoe, CA

note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.
Sorry, but private e-mails will not be answered -- especially now that I have a new baby to take care of!!

Next message: Mary: "Pelvic Adhesions"
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In reply to: Shannon: "AGCUS pap after LEEP procedure for severe dysplasia"
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