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Subject: "confused about biopsy"     Previous Topic | Next Topic
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Conferences HPV (Human Papilloma Virus) Topic #977
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ivoryprincess
Member since Aug-11-05
90 posts
Apr-28-11, 08:44 PM (CST)
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"confused about biopsy"
 
it's been a LONG time since i've posted on here. been living well with hsv for over 6 yrs. just a few weeks ago, i had a positive hpv test with a negative pap. dr. recommended a colposcopy. got one done by a dr. i've not seen before because my dr. is booked up for a while. this guy was not very personable, but that's kind of not the point right now. he found a lesion that he said looked decent (meaning he didn't think it was cancerous). he took 3 biopsies. he also found a cyst that he said probably isn't dangerous unless i have symptoms, but couldn't tell me what symptoms to look for. he said that the lesion should be removed regardless of what the biopsy comes back as. if i get knocked out then the cyst can be drained as well.

now, i totally get the need to remove the lesion if the biopsy comes back problematic, but is it necessary to remove it if it's not? is it gonna be a problem cuz future paps would get jacked up? i'm very confused. he said he can remove it in the office, but i was very stressed and tense when he did the colposcopy, so he would recommend being sedated.

everything i'm seeing online says it hpv causes warts that are painful to be removed. i haven't had any warts. the only other thing is cancer. is there any in between?

i go back to the dr. in 4 days and i want to feel more informed when i go, but i feel like i'm spinning my wheels here.

ip


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windyadmin
Charter Member
8259 posts
Apr-28-11, 10:26 PM (CST)
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1. "RE: confused about biopsy"
In response to message #0
 
It's been awhile since I've read the guidelines, but from what I remember, the biopsy result gives the information needed to decide whether the lesion gets removed or not. There's no point to getting the biopsy if you're going to remove anything that looks like a lesion. The reason for not removing stuff if it isn't necessary is that "stuff" is part of your cervix, and you should keep as much of that as you can.

Between warts and cancer are several grades of dysplasia, which are measured by the degree of changes in the cells and the depth of the lesion.



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ivoryprincess
Member since Aug-11-05
90 posts
Apr-30-11, 11:06 AM (CST)
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2. "RE: confused about biopsy"
In response to message #1
 
So what does the result need to be in order to warrant removing it?


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windyadmin
Charter Member
8259 posts
May-02-11, 09:33 AM (CST)
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3. "RE: confused about biopsy"
In response to message #2
 
LAST EDITED ON May-02-11 AT 09:33 AM (CDST)
 
It depends on a few factors, including your age and what the Pap results were (ASC-US, ASC-H, AGC_NOS, LSIL, HSIL). But in general, biopsy needs to give a result worse than CIN1.

Have a look at these charts:
http://www.asccp.org/Default.aspx?TabName=Cytology+Algorithms
http://www.asccp.org/Portals/9/docs/pdfs/Consensus%20Guidelines/algorithms_hist_07.pdf


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