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Old 05-12-2008, 02:07 PM   #1
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Got My Pathology Report From My Cone Biopsy

I got my pathology report today, and from what I understand, it seems like they got all of the abnormalities, which were pretty much on the surface of my cervix, they did not extend into the canal, and I asked the doctor, who was filling in for my doctor, if my margins were clear, and he shook his head yes, and told me they'd see me again in 3 months for a colposcopy.


So "YAY" for now...but it was reiterated that because I'm HPV positive and at high risk for dysplasia, it could possibly return, which I already knew. I expect it to make a return at some point in my life because I smoke, I have HPV, and I've already had dysplasia, of course.


I want to try to quit smoking, and do all that is necessary to prevent it, but I'm not sure how this quitting smoking thing is going to go over. I feel better for now, but come time for my colposcopy in August, I'll be nervous as heck.


Also, can anyone translate this into NON doctor speak?

ENDOMETRIUM CURETTAGE: Proliferative phase glands and stroma and chronic endometritis

CERVIX CONE BIOPSY: Condyloma acuminata and moderate squamous dysplasia with koilocytosis, appearing to involve the exocervical margin of resection in the 3 6 o'clock quadrant. Remaining margins free of dysplasia.

Also, what the heck is "Unremarkable endocervical mucosa"? I assume its something with mucus membranes, but what does everything else mean? I know its nothing bad, because my path report says no evidence of dysplasia, on the endocervix curettage they did, as well as the deep anterior cervix cone biopsy they did.

The doctor that was filling in for her, was in a rush, he kept giving me the most brief answers ever, and after my second question, I gave up. Hope she's there next time...he was a pompous jerk.

Thanks again!
xtattooedhandsx

Last edited by xtattooX; 05-12-2008 at 02:12 PM.

 
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Old 05-12-2008, 03:07 PM   #2
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Re: Got My Pathology Report From My Cone Biopsy

Quote:
Originally Posted by xtattooedhandsx View Post
I got my pathology report today, and from what I understand, it seems like they got all of the abnormalities, which were pretty much on the surface of my cervix, they did not extend into the canal, and I asked the doctor, who was filling in for my doctor, if my margins were clear, and he shook his head yes, and told me they'd see me again in 3 months for a colposcopy.


So "YAY" for now...but it was reiterated that because I'm HPV positive and at high risk for dysplasia, it could possibly return, which I already knew. I expect it to make a return at some point in my life because I smoke, I have HPV, and I've already had dysplasia, of course.


I want to try to quit smoking, and do all that is necessary to prevent it, but I'm not sure how this quitting smoking thing is going to go over. I feel better for now, but come time for my colposcopy in August, I'll be nervous as heck.


Also, can anyone translate this into NON doctor speak?

ENDOMETRIUM CURETTAGE: Proliferative phase glands and stroma and chronic endometritis

CERVIX CONE BIOPSY: Condyloma acuminata and moderate squamous dysplasia with koilocytosis, appearing to involve the exocervical margin of resection in the 3 6 o'clock quadrant. Remaining margins free of dysplasia.

Also, what the heck is "Unremarkable endocervical mucosa"? I assume its something with mucus membranes, but what does everything else mean? I know its nothing bad, because my path report says no evidence of dysplasia, on the endocervix curettage they did, as well as the deep anterior cervix cone biopsy they did.

The doctor that was filling in for her, was in a rush, he kept giving me the most brief answers ever, and after my second question, I gave up. Hope she's there next time...he was a pompous jerk.

Thanks again!
xtattooedhandsx


Hi,

I'm glad your report showed that everything was taken care of and you had clear margins. I know that is a relief.

There are some things you can do to help your immune system fight off the HPV. Of course, smoking is the big one. Smoking depresses the body's immune system, particularly Vitamin C, which plays an important role in immunity. When your immune system is depressed, viruses, bacteria, and fungus can invade and cause infections. In addition, studies have shown that high levels of nicotine are found in the cervical secretions of female smokers, which can accelerate the changes in the cells which HPV causes and further inhibit the immunity in the cells in that area.

Taking 400 mcg of folic acid has also been proven to help your body fight off HPV. There are other things too that can help. Try doing some research for other ideas.

As for your report, let me see if I can help

ENDOMETRIUM CURETTAGE: Proliferative phase glands and stroma and chronic endometritis This indicates that the biopsy specimen consisted of lining tissue that was in the proliferative phase of your menstrual cycle, along with cervical tissue, and tissue which shows a long-term inflammation (which is a common finding.)

CERVIX CONE BIOPSY: Condyloma acuminata and moderate squamous dysplasia with koilocytosis, appearing to involve the exocervical margin of resection in the 3 6 o'clock quadrant. Remaining margins free of dysplasia. Condyloma acuminata, moderate squamous dysplasia, and koilocytosis refers to changes in the cervical cells caused by HPV. Condyloma are actually genital warts, and koilocytosis are cells that have an enlarged nucleus and which are found in dysplasia lesions. It seems though that these changes were to the margin in one area of the sample, so you might want to discuss this with your own doctor when she returns.

Also, what the heck is "Unremarkable endocervical mucosa"? Endocervical mucosa refers to the mucous membrane lining the inside of the cervix. Unremarkable means that it was normal.

Good luck with everything. Let us know how your 3-month colposcopy goes.

Hugs,

Lisa

Last edited by mod_007; 05-13-2008 at 09:32 AM. Reason: Posting rules tell you not to claim specialist knowledge

 
Old 05-12-2008, 07:13 PM   #3
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Re: Got My Pathology Report From My Cone Biopsy

Tattooed Hands, I'm so glad to hear your pathology report! Yay! Lisa did a great job explaining your questions. I don't think I have anything to add. When it comes to your doctor, I suggest you call and ask for her to call you. Let her know you felt this doctor rushed you and that you didn't get a chance to ask all of your questions.

Good luck with being a smoke-free-gal!

I hope you keep checking in with us. I've enjoyed writing with you in this threads.

 
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