I need help interpreting my colpo path report. Before I begin, I will note there is an error in the report. My history of ASCUS paps began in June 07, I've rec'd 3 paps (June 07, Sept 07 and March 08) with HPV testing and all were ASCUS pap w/ HPV negative. However, the dr's office when sending my "history" with my colpo specimen apparently noted I was HPV positive . That was an error which has since been corrected in my record and was confirmed by the nurse/dr's office by specifically re-looking at each hpv test . So the specimen went to the lab with this history and you will note HPV positve history is noted by the pathologist which is based on the history the office sent. That said, here's the report (long):
Prev abnormal Pap smear (Atypical Squamous Cells); High Risk HPV Positive
A) Cervix @ 4:0 spirabrush; B) Cervix @ 7:0 spirabrush; C) Cervix @ 12:00 D) Endocervix- Spirabrush
A) The specimen consists of a spirabrush containing approximately .8 cm aggregate of minute tan brown soft tissue fragments and blood tinged mucoid material. TS
B, C and D read the same but with .9 cm, .4 cm and .6 cm respectively
Sections of Part A of Spirabrush material demonstrate fragments of squamous epithelium with no dysplasia or HPV changes identified. Some mild metaplastic atypia is present.
Sections of Part B and C of Spirabrush material demonstrate fragments of squamous epithelium with focal atypia of squamous cells.
Sections of Part D of Spirabrush material demonstrate squamous epithelium with atypia characterized by nuclear enlargement, nuclear pleomorphism, nuclear crowding and pernuclear clearing.
Cervix at 4:00 Spirabrush biopsy (A): Mild metaplastic atypia; No HPV change or dysplasia identified
Cervix at 7:00 and 12:00 (B,C): Changes suspicious for, but not completely diagnostic of cytopathic effect of HPV; SEE NOTE
Endocervical tissue (D): No HPV change or dysplasia identified
The patient's previous abnormal pap smear find of atypical squamous cells is noted. The very atypical metaplastic epithelium seen in the spirabrush material here probably accounts for those findings. THese foci are highly suspicious for cytopathic effect of HPV. THe patient's postive HPV status is noted. Closed continued follow up is suggested as clinically indicated
Dr's notes: Atypia- repat 6 months