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  • Atypical Glandular Cells negative for HPV

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    Old 01-20-2014, 02:23 AM   #1
    bionickoi's Avatar
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    Exclamation Atypical Glandular Cells negative for HPV

    I think the wrong posting got deleted so let me do this again:

    I had a pap smear last month that came back showing atypical glandular cells but I tested negative for HPV. I got this all in a letter a month after my physical and was told to schedule a colposcopy. I had that done last Thursday with a gynecologist I am not happy with. I have asked about things in the past and she would never address them and overall is in and out of the office visit within a matter of 5 minutes and that includes the exam and pap smears. She just brushes her patients aside and doesn't take anything they say seriously. So when I did the research on these cells and grew concerned, I had a feeling she wouldn't show concern or handle them the way every single website says when dealing with AGUS.

    So I saw her on Thursday and before the procedure I asked the nurse if she has seen this before. She says they have, but they're pretty rare. I felt slightly reassured when the nurse seem to understand. When I was in the room for the procedure, I asked my doctor about AGUS. Her answer: I see these 5 times a day, they are really common and not alarming at all. When I tried to delve further into the topic by asking if she meant about just abnormal pap smears or squamous cells, she just repeated her. Like typical fashion, she performed the procedure incredibly fast, within five minutes. I asked her what's next after this and she just said she would see me in 6 months for a recheck.

    I'm frustrated and very annoyed. Every website regarding these types if cells point out that one needs to be aggressive in finding the direct cause of where they're coming from and rule out things such as cancer. And here I have a doctor who shows no concern for my health at all. My question to you all, is should I be concerned about these cells like I already am, and how do I g about finding a doctor who will actively perform the needed procedures to discovering the source of these cells.

    I am 34, I have a 16 month old daughter and had hopes to have another child a few years down the road. However, obviously, if it came down to it, me living is more important that risking things and having a second child. I would rather do the needed test now, and rule out cancer for safety sake. I would kick it's butt now, before it kicks mine. We can always adopt if need be.

    Also, I work at the Cleveland Clinic and I know it's along shot, but maybe there is someone from the general area who would know of a good doctor here. And I just found out today that I do not need a referral to see a specialist, so would it be wise to just go to the oncology department or would it be just fine to see a different gynecologist? Thank you everyone!!

    Last edited by mod85; 01-23-2014 at 12:44 AM. Reason: accidental double posting

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    Old 01-22-2014, 03:54 PM   #2
    junipersage's Avatar
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    Re: Atypical Glandular Cells negative for HPV

    I think a regular gyn would be a completely acceptable place to start, as long as he/she is caring, thorough, and addresses your concerns. I hope you'll be able to ask around for recommendations for a good one. You could alslo ask for a copy of your pap result, your colposcopy result and any other lab results so you can read them for yourself and/or bring them with you to your new doctor.

    With atypical glandular cells, it would be wise to make sure that an ECC (endocervical curettage) test was done with your colpo. If it wasn't, that would be the first thing I would want done with a new provider.

    Good luck and keep us posted how it goes.

    Old 04-18-2014, 08:31 AM   #3
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    Re: Atypical Glandular Cells negative for HPV

    I had this same pap result recently. My ob/gyn did a colposcopy which came back fine and then a hysteroscopy with d&c. Biopsies all were fine. He then said see me in a year for your pap. I also have read online about an agus result. It is very uncommon. There is a well respected study which resulted in the Bethesda System, which addresses a pap result of agus. All of the info I read online says these glandular cells need to be taken very seriously and that it is important to find the source of the cells. Cone biopsy was indicated, if other tests do not find the source of the cells. I referred myself to a gynecological oncologist and he says that I need a cone biopsy immediately. I am having this done on Monday. He stated that this could be a result of precancer or cancer of the cervix and that my prior tests do not go deep enough into the cervix to be comprehensive. Much of the literature online suggests that an agus result is so uncommon that often a regular ob/gyn will not recognize the need for more invasive testing. I hope that you took this seriously and have seen an oncologist. They are the experts who would know the most about this. Better safe than sorry. These are minor procedure to go through for either peace of mind or to head off problems down the line.

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