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Severe dysplasia treatment with Trichloracetic Acid? Severe dysplasia treatment with Trichloracetic Acid?

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Unread 06-10-2003, 12:54 PM
Severe dysplasia treatment with Trichloracetic Acid?

Hi all,

I just had my appt. with a gyn/oncologist for severe dysplasia. My regular gyne wants to do a cold knife conization but I have not read anything positive about that procedure. The oncologist did a colposcopy on me and saw 2 small areas of dysplasia. He said I do not need surgery and he could treat the areas of dysplasia with trichloracetic acid. He said I would need 3 or 4 treatments – spacing them one month apart – and that if anything showed up after the last treatment, that I would just need to have that burned off with the lazer. I’ll tell, you, he threw me for a loop. I went in there to discuss conization, leep and possible hysterectomy to be sure they got all of it out and he said I didn’t need those types of surgery. He is an oncologist and I do respect his opinion. I felt wonderful that he thought it could be taken care of that way. Then the nurse at my regular gyne’s office happened to call me after the oncologist appt to see what I had decided to do. When I told her what the oncologist wanted to do for treatment, she said that in their office, they do not treat CIN III that way and that treatment is only for CIN I and II. She also told me that I had endocervical involvement - which was the first time I had heard that about my biopsy results. Now I am very confused and don’t know what to do. Has anyone had trichloracetic acid as a treatment for dysplasia and what grade was your dysplasia?
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Unread 06-10-2003, 07:32 PM
Severe dysplasia treatment with Trichloracetic Acid?


I was treated for the same condition with the Cone Biopsy. I did a search here at HS for Trichloracetic and the only thread that came up was this one. Web search results had a lot about it's use on genital warts but I couldn't see anything about dysplasia.

What I would do is call the Oncologist's office and let him know what you were told. Hopefully he will be able to make it clearer for you.

Unread 06-10-2003, 08:03 PM

First off, I have no idea about leeps, cones, CIN's or the like. But after reading your post, there was one thing that came to mind. I would go with the specialists, they know what they are talking about. Is your oncologist a gyn/oncologist? They are the experts and if your onc isn't a gyn/onc, I would see if I can get a second or third opinion with one. They would know.

Hope this helps some..

's and ers to you...
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Unread 06-10-2003, 08:13 PM
Severe dysplasia treatment with Trichloracetic Acid?

Just putting my 2 cents in... I agree with Tammy... I would definately go with the oncologist/gynocologist and tell him exactly what my regular gynocologist said.

Unread 06-10-2003, 10:25 PM
Severe dysplasia treatment with Trichloracetic Acid?

That sort of treatment was never mentioned to me at all. I have done a LOT of internet research on treatment options, I was diagnosed with both severe squamous cell dysplasia and adenocarcinoma in situ... I had the option of a cold knife bx or the hyst. Nothing else was really mentioned... I think the main reason I was suggested the hyst was for the ACIS and NOT the severe dysplasia, but as I said, I have not seen that in the research that I have been doing. Now, of course, that doc is an oncologist, so he does know what he is doing, but it may be helpful to get another opinion. Did he say that that treatment would rule out the possibly of the cells returning? That was a big deciding factor for me also (and of course my not desiring future fertility...). Obviously, the treatment that will be easiest on your bod and permanent should rule... Best of luck to you -- I would really like to know what you end up finding out and doing.
Unread 06-11-2003, 08:22 AM
Severe dysplasia treatment with Trichloracetic Acid?

i also had severe dysplasia. it's scary i know. on 12/23/2002 i had a leed only because my doc refused to do the hyst. on the day of the leep, before surgery he came to me and told me if for some reason he did not get all the cells i would have to have the hyst. this really upset me but i figured he knew what he was doing so we went ahead with the leep. at the time my company was relocating to a new town. i went back to see the doc at 4 weeks and he said everything was fine but wanted me to have a pap every 3 months.
so i found a new doc in the area i now live.

the new doc said my cervix was pretty much mutilated and that the other doc had missed an area of the cells. so i had to have the hyst.

so my advise to you is to get other opinions before you decide what you will
do. i wish i had i could have saved myself alot of pain and grief.

good luck to you
Unread 06-11-2003, 05:34 PM
Severe dysplasia treatment with Trichloracetic Acid?

Thanks for responding ladies. I too did more research for treatment of dysplasia with trichloracetic acid and it just does not exist. I only got info for cosmetic surgery and warts. Needless to say, I do not feel comfortable with his treatment and will not be going back to him. I also heard (after I saw the oncologist) that he was not a good doctor and he was very difficult. How was I to know? I have been changing my mind from a hysterectomy to a conization for days now. I had a talk with my regular gyne again and decided to go with the conization. If the cone results come back with the same diagnosis as severe dysplasia, or better - which he told me he has seen before - and my margins are clear, then I'm considered cured. If the margins are not clear, I can then decide to have the hysterectomy. He told me he has never had a patient have to come back for a hysterectomy after a conization for dysplasia. He's been my gyn for 17 years. Wish me luck! I'm scheduled for the 6/23/03.
Unread 06-11-2003, 06:11 PM
Severe dysplasia treatment with Trichloracetic Acid?


Best of luck on your conization, may all margins be clear. I feel it is better to go with what your gut says, usually that is the best.
Unread 06-11-2003, 06:17 PM
Severe dysplasia treatment with Trichloracetic Acid?

Wishing you lots of luck! Come back and let us know how it goes.

Unread 06-12-2003, 09:26 AM
Severe dysplasia treatment with Trichloracetic Acid?

I have never heard of the other treatment. Many ladies here have had a cone biopsy. Good luck and let us know how everything turns out.

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