Re: cervical cancer (?)



MZB wrote:
My daughter is 27 years old. She recently had a Pap Test which came out
horrible (worst possible score). This was a shock as she has yearly Pap
tests and they have always come out just fine.

A follow-up biopsy was better than expected. indicating:

ECC-normal

CERVIX: CIN -1/2

She has been told that this means carcinoma in sito (non-invasive cancer)
but also that this is a pre-cancerous dysplasia situation, which will
definitely turn into cancer if she does nothing.

So, which is it??

Apparently, the next step is a "colonization" or as an alternative a LEEP
procedure (she is leaning towards this - she hopes to have children some day
and while neither surgery makes having a child impossible, the latter
procedure is easier and better and she could have the other procedure if the
LEEP is insufficient).

Needless to say, we are plenty worried about all of this.

Does she have cancer of pre-cancer? Is it merely semantics?

Any advice/suggestions.

Our daughter has lined up appointments for a second and third opinion.



Mel





Sometimes different sections will show different degrees of cellular change. In practice, since some cells will look a little worse than others, when there is significant cellular atypia it needs to be treated. On the plus side, the term "in situ" means that even if the cells are judged to be cancerous, they have not invaded the deeper tissues, and thus should be possible to get the bad cells out.
Sorry, I have no knowledge of the relative merits of the procedures (I'm a dentist).

Steve
.



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