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PAP Smear Test Showed Moderate To Severe Dysplasia. What Does This Mean?

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Posted on Mon, 16 Dec 2013
Question: PAP SMEAR EXAMINATION REPORT GROSS TWO CERVICAL SMEARS PREPARED,FIXED IN ALCOHOL AND WERE STAINED WITH PAPANICOLAOU STAIN. MICROSCOPIC SMEARS ARE CELLULAR SHOWING MULTIPLE DYPLASTIC SQUAMOUS CELL IN CLUSTER AS WELL AS DISPENED THE CELLS SHOWS HIGH N:C RATIO NUCLEOMEGALY IRREGULAR NUCLEAR MEMBRANE PROMINANT NUCLEARIAL AND PLACES MODERATE EOSINOPHILIC SYTOPLASM FEW CELLS SHOWING KERTINIZATION IN A MILD NEUTROPHILIC INFIMMATORY INFILTRATE. IMPRESSION-MODERATE TO SEVERE DYSPLASIA. Adv-BIOPSY RULE OUT MALIGNANCY AND CLINICOPATHOLOGICAL CORRELATION. PLEASE ENLIGHTEN THIS REPORT
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Answered by Dr. Dr. Rakhi Tayal (9 hours later)
Brief Answer: Suggestive of precancerous change. Detailed Answer: Hello, Thanks for trusting us with your health concern. The PAP smear report is suggestive of cervical dysplasia. It is due to the presence of precancerous changes of the cells that make up the inner lining of the cervix. Since the report is suggestive of moderate to severe dysplasia, resection procedures like loop electrosurgical excision procedure (LEEP), cold knife conization, and hysterectomy are preferred as the chances of having a cervical cancer are higher. A biopsy will help to confirm or rule out the cancer. Both LEEP and resection of areas of cervical dysplasia cure approximately 90% of women with dysplasia, meaning that 10% of women will have a recurrence of their abnormality after treatment, requiring additional treatment. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Dr. Rakhi Tayal

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Practicing since :2001

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PAP Smear Test Showed Moderate To Severe Dysplasia. What Does This Mean?

Brief Answer: Suggestive of precancerous change. Detailed Answer: Hello, Thanks for trusting us with your health concern. The PAP smear report is suggestive of cervical dysplasia. It is due to the presence of precancerous changes of the cells that make up the inner lining of the cervix. Since the report is suggestive of moderate to severe dysplasia, resection procedures like loop electrosurgical excision procedure (LEEP), cold knife conization, and hysterectomy are preferred as the chances of having a cervical cancer are higher. A biopsy will help to confirm or rule out the cancer. Both LEEP and resection of areas of cervical dysplasia cure approximately 90% of women with dysplasia, meaning that 10% of women will have a recurrence of their abnormality after treatment, requiring additional treatment. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal.