Re: Abnormal pap after leep for adenocarcinoma in situ
Hi JW, hope you have been able to connect with your doctor by now and get your questions answered.
As you know, adenocarcinoma in situ can be tricky to monitor. Even with clear margins, there is a 15 to 20% chance that there are other lesions elsewhere, since adeno can "skip around" - that is, have lesions in multiple places that don't touch each other. That is why continued monitoring is so, so important.
With your paps and your history, the next steps would be colposcopy and punch biopsy to look for more abnormal cells. If AIS is still present, you need to think about your next move. Trachelectomy is one option. You may also want to consider egg harvesting in case you end up needing a hysterectomy after all.
I'm so sorry you're having to deal with this again. Because I was done having kids, I chose to have a hysterectomy after being diagnosed with AIS but even then it was not an easy decision. I think you made a good choice based on the info at hand, and now is the time to consider the new info you are getting now and make a choice based on what you know today. Let us know how it goes. Sending hugs!