My 2nd biopsy results in!!

Ok, after a long ride on a roller coaster my LEEP biopsy is the same as the first pinch biopsy... Severe dyslasia.

I was told flat out it was not cancer. I kept questioning that and the nurse told me to stop second guessing, stop losing sleep, stop beating myself up. The results are what they are: Severe dyslasia. Pre cancer but not cancer. That I was taking the steps to get rid of the abnormal cells and that's what is important.

I didn't get clear margins though, but the dr. said she also burned off some of the area after the LEEP and that may very well have taken care of the rest.

Big sigh. The canal biopsy was normal so it hasn't spread in to that. That's good news. Right?

I have to go back in 2 weeks for the dr. to check my cervix and a pap in Sept.

And pray for a normal result.

I keep doubting it's over, but I guess I should take the good with the good and rejoice over this. The nurse said if cancer was found and the dr was still concerned she wouldn't have me wait. I would go in for a hyster like she told me I would have to if it came back cancer.

Sooooo that's all for now.

Thanks for putting up with me.

Hmmm...quick question...does severe dyslasia go away on its own? I was under the impression the reason they do the LEEP and other procedures is that severe dyslasia can turn into cancer if left untreated....am I correct here?

So if you did not have clear margins after the LEEP per the results, what's gonna be any different when you back in September for a repeat pap??? I would think the dyslasia would still be there and possibly worse! Am I crazy for thinking this???

Worried Sick...not trying to freak you out here (you are doing that enough on your own...lol....hehe....just jokin') but based on my information, something just isn't adding up!

	Quote:
Originally Posted by JessicaG Hmmm...quick question...does severe dyslasia go away on its own? I was under the impression the reason they do the LEEP and other procedures is that severe dyslasia can turn into cancer if left untreated....am I correct here? So if you did not have clear margins after the LEEP per the results, what's gonna be any different when you back in September for a repeat pap??? I would think the dyslasia would still be there and possibly worse! Am I crazy for thinking this??? Worried Sick...not trying to freak you out here (you are doing that enough on your own...lol....hehe....just jokin') but based on my information, something just isn't adding up!

I had a large biopsy taken from the LEEP... and then the Dr. burned more of the area with a lazer. Both steps are used in treating severe dysplasia. So even though the biopsy didn't come with clear margins... the lazer may have taken care of the rest. The scraping biopsy came back neg. so the dysplasia only goes so far.

Since it's not cancer, we have to give my cervix time to heal from the LEEP and lazer treatment. The Dr. doesn't want to do anymore to it unless needed. I'll wait the 3 months, things will heal and another pap will be done. If there is still dysplasia, more treatment will be needed. But sometimes the body heals if only a little is left~ it's a wait and see. This type of cancer is slow growing so I was told waiting for things to heal and recheck in 3 months will be ok. If it still shows severe abnormal cells, I'm going to ask for the hyster? I think? LOL OR if another LEEP could take care of it. Try that first? I haven't decided.
The nurse said if it came back cancer, we wouldn't wait. Sooooo, I'm holding on the good thoughts we caught this just in time and the Laser finished the job!!!

For now, I believe alot of the abnormal area is gone.

I still don't feel out of the woods and I probably never will... but if my next pap comes back anything less then severe, I'll be VERY happy!!!

I hope this is your cure. Best wishes and hope you can get some sleep now.

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Originally Posted by soapnherb I hope this is your cure. Best wishes and hope you can get some sleep now.

Thank you! Sadly, my mind is still in over drive and I'm doing exactly what the nurse told me not to do. Second guessing the results.

I'm still in the 'what if' thought. I'm nervous because we didn't get clear margins... I realize the dr. did a laser treatment after but she took such a large biopsy, that makes me nervous it's still not clear. I reaize the internal biopsy, scrapping was neg. so the dysplasia can only be so deep? I'm thinking outloud! LOL

Does anyone know the difference between severe dysplasia and having cancer? What determines the difference? Would the cells actually be cancer in the biopsy? The nurse said yes, it would have come back cancer not severe dysplasia... but like I said I'm second guessing everything. OY!

Did you have a biopsy with severe dyspasia and then find out it was cancer?

My freak out meter is still running on high. Sorry!

There is a fine line between severe dysp. and cancer.
Severe dysplasia usually will not fix itself which is why one of the other posters was concerned for you.
Severe dysplasia is severe changes in the cells on their way to being cancer. So it is still serious but very treatable. It is scary..no doubt. But there is still a good chance you are cured right now. So it woudl be best to try and take comfort in that.

Cancer, even at an early stage such as carcinoma in situ and stage 1 have a huge success/survival rate.
So you are in a place of finding this early, you are either cured or if it comes back you can still be cured with more agressive means, but easy to live through.

check out http://www.cancer.org
if that helps you find out the facts and treatment options you have.
I really think you are going to be fine.

((worriedsick))

Yes, if there had been cancer cells in the LEEP biopsy the pathology would have indicated it. Invasive cancer occurs when the cells break through the basement membrane of the cervix. Then it is measured in terms of depth and spread. The LEEP tool used would have made a pass into and through that basement membrane (I know this because mine did and the leep tool was a 1cm depth, so not even that big...) and would have picked up any cancer that may have been present. The fact that your canal scraping was clear is a really good thing, and it is very likely the laser she used following the LEEP took care of any cells that may not have been cut out with the LEEP. Also, the thing with the LEEP is that it cauterizes the tissue as it goes through so while the cells appear to go right to the margin, the cauterization may have also taken care of cells left behind if there weren't many. Does that make sense?

I know the turmoil, worry, concern, frustration. I've been there. I struggled too, but I finally decided enough struggling. I took action. I got my second opinion. Then I got my third. I took control and became my own best health advocate and as such, became very confident in my treatment. I no longer worry about the what ifs, I turn it around and say "I'll deal with it if and when I have to". I am mindful of my body and inform my doctor if I have concerns. It is a process you are going through, it is a process we have all been through. Call and make an appointment with your doctor. If she is unresponsive to your concerns and is unable to ease your worries, you may want to consider a second opinion.

Good luck.

Hi Worried,This is good new's for you.Just try to let yourself relax and heal,your doctor is on top of it.My finger's are crossed that you have no more problem's and get a clean pap.Take care.

Dear Worried,
After my pap test came back with abnormal cells my dr ordered a d&c when I had the d&c the biopsy came back atypica cells, my dr referred me to a gyn/oconologist and he confirmed to me that the abnormal cells were not cancer, but since I am menaposual for 6 years so far, dr/ocn recommended total hyster my other option would be to get a biopsy done every 3 months, my choice was to have hyster I was afraid of abnormal cells changing sometime down the road. Get a second opinion and see a gyn/ocon dr who are more experienced than a gyn dr.

Good luck to you and try not to worry too much, when the worried thoughts comes out from no where, try to think of something else.

I had a pap done in Feb 2006 that showed mild dys. In April I went back for my colpo and the results came back as severe dys. Severe dys. is the statge before cancer, it is not cancer but can turn to cancer if not treated. The leep would take care of that. This is not my first time having this result from a pap. I also had endometriosis for 13 yrs and almost every women in my family has had a hyst. So I told my doctor I was sick of the bad pap results and the endometriosis and that I didn't want to go through any more test or surgery. So he decided that a hysterectomy would be the best way to go. I just got my pathology report back and everything was fine. NO CANCER thank god! But it is very scary. If your not 100% sure of your gyn doc then get a second oppinion. Any good doctor would recommend it if they thought you might have any doubts.

I worry about everything too. Just take a deep breath and everything will be ok. I believe god only gives us what we can handle.

Good Luck in Sept.
Janice