$Unique_ID{BRK01011}
$Pretitle{Genitourinary System, Special Procedures and Laboratory Tests}
$Title{Does an Abnormal Pap Smear Mean Surgery?}
$Subject{pap smear biopsy follow-up}
$Volume{J-14, P-14}
$Log{
Figure 1*0001901.scf
Figure 2*0009001.scf}

Copyright (c) 1991   Tribune Media Services, Inc.


Does an Abnormal Pap Smear Mean Surgery?


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QUESTION:  My doctor has phoned with a report that my Pap smear is abnormal,
and that he wants to see me again.  What next?  Does this mean I am sentenced
to surgery and must have my uterus removed?  Please answer.  I am sick with
fear.

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ANSWER:  You are a long way from surgery, on the basis of this preliminary
report.  While the cells may be abnormal, they may not be precancerous, due
instead to infection or inflammation.  Lets take it step by step.  Another
smear may be indicated, after treatment for infection, if your physician feels
that this may be the source of the abnormal cells.  A colposcopic examination
is in order, the colposcope being an instrument that resembles a pair of
binoculars, and permits the physician to examine the cervix closely.  If there
are any suspicious areas seen, the physician may take a small sample of tissue
or "biopsy" for microscopic examination and diagnosis.  If the cells are
precancerous (frequently called "dysplasia"), there are several types of
treatment to choose from, all effective in removing the abnormal tissue.
Laser techniques use an intense beam of concentrated light to vaporize and
destroy the affected areas on the cervix.  Intense cold may also be used to
destroy abnormal cells with a technique called "cryotherapy".  A portion of
the cervix can be removed surgically, removing a cone shaped portion of tissue
that contains all the abnormal areas.  The procedure is called "conization".
The uterus is removed (hysterectomy) when the dysplasia is advanced or
pronounced, and when other simpler methods have not been successful.  The good
news is that more than 90 percent of all cases of cervical dysplasia are
successfully treated using laser therapy, cryotherapy or conization.  The
early diagnosis obtained by Pap smears give a bright outlook for patients, who
may have abnormal tissue removed before it has advanced or spread, with
techniques that leave the uterus intact, and without major surgery.
ÿ
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The material contained here is "FOR INFORMATION ONLY" and should not replace 
the counsel and advice of your personal physician.  Promptly consulting your 
doctor is the best path to a quick and successful resolution of any medical 
problem.
