So here's my story... I'm 27 and my paps
have always come back normal up until this
year. About two months ago I went in for
my yearly and it came back w/high grade
cells on it. So my gynocologist did a
colposcopy which came back CIN 3 ....
Well, then I was scheduled for a cone
biopsy (which I had about two weeks ago)
The results from that came in as
adenosquamous carcinoma in-situ. And my
margins came back clear.
Well, on my follow up app. all my gyno.
told me was that I had cancer & had to
go & consult with a gyno oncologist.
That was it.... so I have been doing a lot
of research on the internet, and I just
find myself getting more & more
confused. I'm wondering what type of
testing I will receive next & if that
means that I could have cancer in other
glands as well (like in my uterus)? I'm
guessing that I'll have to have a
hysterectomy, but luckily my hubby & I
have already had all our children, so for
me that's not an issue. I'm mostly worried
about if this could have spread to other
places, glands, etc. And I wonder why my
pap last year was normal, now all of a
sudden I have stage 0 cancer.... I'm so
confused! I wish my gynocologist could
have been more helpful when I was asking
her all these questions. She just told me
I'd have to ask the oncologist.... Ugh!
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MandMs
Extremely EHEALTHy
Joined: 26 Jan 2007 Posts: 1980 Location: Strumica, Macedonia
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Posted: 03-14-08 08:02am
Although, CIN 3 is known as
carcinoma-in-situ, is not cancer of the
cervix.
These results mean that cells are severely
abnormal and that if they are left
untreated, they could go on to develop
into cervical cancer.
Cone biopsy as you had is one way to get
treatment for CIN 3 and get rid of this
potentially harmful area on your cervix.
But, I guess what has mentioned your
doctor about having cancer is that the
cells broke through the top layer of
mucous membrane covering the cervix and
spread into the tissue underneath.
So, you'll need to discus this with an
oncologist and if another biopsy is needed
to determine if the abnormal cells spread
deeper.
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tcaswell
New User, Becoming EHEALTHy
Joined: 13 Mar 2008 Posts: 3 Location: , mi USA
Posted: 03-14-08 11:26am
Thank you for the info! I really
appreciate it!
|
Ingi
Supporter
Joined: 09 Mar 2006 Posts: 8434 Location: Grinning like a Cheshire Cat,
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Posted: 03-14-08 11:45am
I'm confused on this as well. If your
margins are clear, then the bad cells
would have been taken care of.
When is your appointment with the
Gyno-onco?
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tcaswell
New User, Becoming EHEALTHy
Joined: 13 Mar 2008 Posts: 3 Location: , mi USA
Posted: 03-15-08 15:27pm
It's this coming Wed. I had to wait
almost 2 weeks to get in because the
doctor was on vacation. It's been horrible
having to wait this long! Plus, my regular
gyno. told me pretty much nothing. Ugh!
I'm deff. getting a new one after this is
all over with! I told my husband that it
was pretty sad I had to go online and
spend 2 hours looking up what my pathology
report said... when my gyno. could have
just told me herself
Anyhow, this is what my my report says:
Cervical squamocolumnar junction with CIN3
(high grade SIL) with focal glandular
differentiation (adenosquamous carcinoma
in-situ).
Other findings: endocervical glandular
atypia, (see comment)
Comments:
Dyplastic squamous epithelium is best
described in slides A3-A7, corresponding
to the 3-6, 6-9, and 9-12 o'clock
quadrants of the cone. Dyplasia arises in
immature metaplasia and focally exhibits
glandular differentiation sometimes
referred to as "adenosquamous in situ" and
classified as discontinuous with "skip
areas". No invasion is seen in the
material submitted.
Endocervical glandular atypia is
characterized by rare a mitotic figure and
mild nuclear enlargement (slides A7). The
endocervical and ectocervical margins of
the cone, where visualized, appear free of
squamous/glandular dysplasia. Close
clinical follow-up with consideration of
referral to a gynocologic oncologist is
suggested.
I'm so confused!
|
MandMs
Extremely EHEALTHy
Joined: 26 Jan 2007 Posts: 1980 Location: Strumica, Macedonia
Thanks: 30
Thanked:10
Posted: 03-20-08 04:37am
You are welcome anytime!
Pap smears results, also involve
endocervical component (sample from the
endocervical canal, canal that leads from
cervix to uterus cavity) Endocervical
canal is lined by cells which make a
transition to become those of the internal
lining of the uterus and the abnormal
calls usually occur at the point of
transition.
Endocervical glandular atypia means that
cells are less atypical than cells of
adenocarcinoma in situ, but, usually are
considered as precursors of adenocarcinoma
in situ.
Endocervical sample that is taken as
Cytobrush sample improves the detection of
early-stage glandular neoplasms, but,
also, many minor atypias unrelated to
cervical cancer are also detected.
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