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Cancer: Cervical & Ovarian Message Board

negative colposcopy/pos. leep

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Old 01-25-2007, 11:55 AM   #1
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msremi HB User
negative colposcopy/pos. leep

In June of this year I had an abnormal pap (ASC-US) and found out I have a high risk hpv. The doctor did a colposcopy and it was normal. I had to switch doctors for insurance reasons, so when I had a pap this past December with a different doctor, it showed LGIL. She also did a colposcopy, but it came back negative. Both doctors commented at the time of the colposcopies that when they stained the cervix, it did not turn white anywhere. I just had a LEEP two weeks ago and it showed CINII and was in the margins as well. Has anyone ever had any experience like this? I am afraid I will be having another LEEP in the coming months.

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Old 01-25-2007, 12:41 PM   #2
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karen32 HB User
Re: negative colposcopy/pos. leep

Well, good for your doctor for proceeding with a LEEP and getting the cells out of there!!!! Yes, it is possible for the colpo not to show anything, but still have abnormal cells in the cervical canal. The cervical canal is not entirely visible during a colposcopy, a key component of the colpo is visualizing the entire transformation zone/squamocolumnar junction (which is the entrance to the cervical canal). If the doc cannot visualize the entire t-zone, the colposcopy is deemed "unsatisfactory" and typically warrants further investigation (such as the LEEP). Some doctors adhere to these standards, some do not (mine didn't). Also, if your doctor had performed an Endocervical curettage at the time of your colposcopy (I'm assuming this wasn't done, but maybe it was?), the ECC might have identified the dysplasia in the canal.

This definately deserves some pretty diligent follow up. Do you know which margins contained the dypslasia (endocervical [canal] or ectocervical [surface])? Get a copy of your pathology report, it should contain that information. If it was ectocervical then that should be easier to monitor. Likely you will have another colpo with an ECC at your next appointment.

good luck!

Old 01-25-2007, 07:47 PM   #3
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Re: negative colposcopy/pos. leep


The pathologist could not determine at this point as to whether the dysplasia was ecto- or endocervical.

Thanks for your post. I need to look more at the positive and go on with life.

Old 02-27-2007, 09:11 AM   #4
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furtiva HB User
Re: negative colposcopy/pos. leep

boost your immunity and be positive.

There is a slight correlation of stress and reocurring cervical dysplasia shown in some studies. I'm guessing more form the things that you do when under stress( i.e. excessive eating of bad food, drepression and insommia)

so cheer up, we're all there.

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