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  • LEEP found adenocarcinoma in situ of cervix

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    Old 04-03-2004, 08:56 AM   #1
    lprdgrl27
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    LEEP found adenocarcinoma in situ of cervix

    I recently had a LEEP procedure done at the end of January for what they thought was mild dysplasia. The results ended up revealing adenocarcinoma in situ of the endocervix. My gynecologist initially set me up for a simple hysterectomy, but wanted me to go get a second opinion from a gyne/oncologist. I went to see the specialist and he said that hysterectomy was too radical due to my age (29) and never having children, I am to follow up again with the gyne/oncologist in May. Is it safe to wait and do nothing. The gyne/oncologist did not seem very concerned at all, which was the entire opposite reaction compared to my regular gyne who was ready to do major surgery. The gyne/oncologist did say that my margins were not assured from the LEEP procedure and that I will have to follow up in 3 months with a PAP to examine more endocervical cells and that if he sees anything suspicious he will also do colposcopy. Do you agree?????


     
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    Old 04-05-2004, 08:02 AM   #2
    csoar2004
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    Re: LEEP found adenocarcinoma in situ of cervix

    Primary care docs don't see "adenocarcinoma-in-situ" all that often. It gets them excited. Gyn/Oncologists, however, do. Hence, their lower-key response.

    If I were you, I'd request that your pap slides, colpo slides and LEEP slides be gathered up and reviewed by a consulting pathologist. This SHOULD be standard procedure when one pathology report lists "mild dysplasia" and another lists "carcinoma-in-situ" because of the wide discrepancy in readings. Having your slides reviewed this way may actually result in a changed reading of the pap and/or the biopsies done @ colpo, and/or the LEEP results.

    Since you are clearly worried, sit down and make out a list of questions that you want answered. Call the specialist and politely but firmly request answers. We here @ the Health Boards can guess and offer personal experience, etc. but ultimately, it's your physicians who can best answer - they're the ones with the experience, lab results, etc.

    good luck.
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