Anal Biopsy ...to Do/not to Do ? Posted: 08-23-06 20:34pm
Even though I had all the "symptoms" for
anal cancer, about a year ago , lasting
for appx 6 mos, (dk red blood, major-minor
amounts, ribbon stools and always feeling
like I had to go regardless)....They've
miraculously gone away...As has my "rai"
sexual practices as well. (yes I am hiv+)
now after a "pap smear" came back as
carcinoma in-situ, they want to perform a
anal biopsy under general anethesia with
all the associative drawbacks (major 2-3
week pain residue, potential for
inconclusiveness and surgeon "resident"
excision error/aggresivness).
My question, since the "symptoms" have
literally dissappeared for over 6 months
now (although I do get "residual" trace
blood if "scrapey/rough" stools are
passed).........
The fact that "pap smears" are notorious
for being incorrect as regards to
"specificity" ..........
And that a veterans hospital resident
desirous of "excision" time/experience
will be doing the "cutting" ......
(they will not only perform surveillance
biopsies (6) pieces of rectal tissue
around the "circumference" but
also......
Are planning to excise any/all "lesions"
plus their margins that are "small" enough
to accept such invasive action....
Pls advise, as these are valid, objective
concerns I have concerning potential
drawbacks, discomfort, doctor "competence"
and morbidity...Especially with regards to
"pap" smear specificity error.
Why incur invasive action when no symptoms
remain or linger, especially in light of
all the haphazardly generated "pap" smear
inclusivities.
There's only so much "real estate" to work
with down there...
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