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Forum Name: Cervical Cancer

Question: Follow-up abnormal pap


 funnyfem33 - Sat Oct 27, 2007 3:47 pm

Age 45, fem, Have had two abnormal pap, mild dysplasia diagnosed after biopsy. No history of cancer, HPV positive.

I had a cervical biopsy which came back ok, then a vaginal stain/biopsy which showed mild dysplasia. My doctor wanted to do laser surgery, second doctor wants to do a DandC for diagnostic purposes.

Are these interventions too extreme or is one of them preferable.

Thanks
 Dr. Chan Lowe - Sat Nov 03, 2007 4:20 pm

User avatar Hi Funnyfem33,

The initial cervical biopsy may have missed the effected area. With two abnormal pap smears and the subsequent biopsy showing mild dysplasia it seems reasonable to be a little more agressive in treatment.

The problem is that with mild dysplasia no one can say if or when the dysplasia will progress. The concern would be that it will ultimately progress to cervical cancer. So, I suspect your doctors are wanting to treat this aggressively to try to prevent it from becoming cancer.

As to which procedure is appropriate, I am unable to recommend one over the other. My specific knowledge of this issue is too limited to say with confidence.

Follow up with your gynecologist is important.

Best wishes.

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