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Old 11-03-2009, 09:43 AM   #1
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High Grade Cell Changes

I have had abnormal pap results for the last 3 years. They finally did a colposcopy 4 months ago, and said everything looked fine. Then last week I had a follow-up pap and received a phone call today that there were "high grade cell changes" and they want to do a LEEP procedure next week.

I'm not sure what all is involved with a LEEP, and what it means in terms of what they found on the pap.

What should I expect from the LEEP procedure? And does this mean I have cancer??

Thanks!

 
Old 11-03-2009, 07:28 PM   #2
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Re: High Grade Cell Changes

This does not mean you have cancer. It means, most likely, that you have cellular changes on your cervix that are caused by HPV and the doctor needs to biopsy them to determine the extent of the cellular changes.

I suggest you ask your doctor's office for the pathology reports from the past 4 years or so and for everything from the paps to colposcopies. It will help you understand what has changed over the course of time with your paps and colpos.

The LEEP is a form of a cone biopsy. Usually the LEEP is done in-office and using local anesthesia. I didn't have one, so I am a little reluctant to give much more information about the LEEP. You will find a lot of LEEP info on the Cancer: cervical and ovarian board here at HB.

I had a CKC (cold knife cone biopsy) which was done under general anesthesia.

Both CKCs and LEEPS (and LLETZ, and Top Hats) are all forms of cone biopsies. Each procedures cuts a conical type shape from the cervix, deeper within the canal. It is a wider biopsy at the cervical mouth and deepest in the canal. It helps the doctor to determine if cellular changes are occuring just on the outer cervix or also in the canal.

With my CKC, I had it on Friday, rested most of Saturday, went to the store (but didn't push a cart or lift any bags) on Sunday, and taught on Monday. I spotted and had some mild cramping, but nothing terrible. I took over the counter ibuprophen from Sunday on.

I hope that helps.

 
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