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Subject: abnormal pap after LEEP Author: Stacey [ Next Thread | Previous Thread | Next Message | Previous Message ] Date Posted: Friday, March 30, 06:13:35pm Author Host/IP: 24.2.229.14 I had the LEEP procedure 10/06 then 2/07 had another abnormal pap, do I just had a cervical biopsy(again)3/07, when I asked my MD whats the next step, he was vague and said lets wait for the results first....anyone have this happen to them? I mean I am really wondering if its going to be cervical cancer. Any answers would be great. Thanks! [ Next Thread | Previous Thread | Next Message | Previous Message ]

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[> Subject: Re: abnormal pap after LEEP Author: Myra [ Edit | View ] Date Posted: Sunday, April 01, 06:11:06pm Author Host/IP: 208.54.94.33 Recurrences are common after a LEEP. Do you know if your doctor got clear margins after the LEEP? Your doctor really does need the information of your biopsy before he can recommend treatments. Do the little things that you can do to help your body recognize and fight the virus….condoms until two clear PAP…a good multi-vitamin, exercise eat your greens especially broccoli, cauliflower and cabbage, get adequate sleep your body cells heal in stage four sleep…if you smoke stop and limit your alcohol intake… I will hope that your biopsy shows nothing of concern I wish you well. Recurrence common after negative LEEP Obstetrics & Gynecology 2004; 104: 250-4 Patients with biopsy-confirmed high-grade cervical dysplasia who have a negative loop electrosurgical excision procedure are as likely to experience recurrence as those with a positive procedure, researchers warn. "The complete absence of dysplasia in a loop electrosurgical excision procedure (LEEP) performed for high-grade dysplasia is an occasional finding of uncertain clinical significance," write Chad Livasy (University of North Carolina, Chapel Hill, USA) and colleagues. To assess its incidence and significance, they reviewed the results of LEEP procedures performed on 674 patients with biopsy- confirmed cervical dysplasia between 1991 and 2001, and then analyzed rates of recurrence. The authors found that specimens from 93 women were completely negative for dysplasia, giving an incidence of 14 percent. Of the 75 of these women who had follow-up data available, 24 percent experienced recurrence. This included carcinoma in two patients, high-grade and squamous intraepithelial lesions in eight and six patients, respectively, and atypical squamous cells of undetermined significance in two patients. Importantly, this recurrence rate was similar to the 27 percent occurrence seen in patients with positive LEEPS. Livasy et al therefore conclude: "The absence of dysplasia in a LEEP is not a reassuring finding, and close clinical follow-up with Pap cytology is warranted for these patients." [ Post a Reply to This Message ]