It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....

Cancer: Cervical & Ovarian Message Board

Abnormal pap after leep for adenocarcinoma in situ

Post New Thread   Closed Thread
LinkBack Thread Tools Search this Thread
Old 08-23-2013, 12:45 PM   #1
Join Date: Aug 2013
Posts: 1
JwQuestions HB User
Abnormal pap after leep for adenocarcinoma in situ

Hi, I am 30 years old, no kids and not married yet. One year ago I was found to have endocervical adenocarcinoma in situ. I had a leep with clear margins. I went on to see a GYN oncologist and she gave me three options and made me choose my treatment path. My options were hysterectomy, trachelectomy, or surveillance to preserve fertility. I opted for surveillance since I still wish to have children. I have had routine paps and ECC for one year since the leep. Six months ago my pap showed endometrial cells, which we were going to reevaluate at the next pap. Now six months later my pap shows atypical cells. This call was made to me from the nurse practitioner since my gyn onc is out of town. The nurse practitioner was not very knowledgeable about my case and what to do. I am freaking out and now I have to wait a week to hear from my doctor. I am worried that I made the wrong treatment choice and to top things off I start a new job Monday and I won't be able to take any time off. Please help if you have had a similar situation.

Sponsors Lightbulb
Old 09-17-2013, 12:06 PM   #2
Join Date: Sep 2013
Location: California, USA
Posts: 79
junipersage HB Userjunipersage HB Userjunipersage HB User
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!

Closed Thread

Thread Tools Search this Thread
Search this Thread:

Advanced Search

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off

Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 04:16 PM.

Site owned and operated by HealthBoards.comô
© 1998-2018 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!