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What Does My Endocervical Biopsy Report Indicate?

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Posted on Wed, 8 Apr 2015
Question: My daughter is 24 and just got married. The first one in March of Last year came back fine. Then she had another in 4 months later. Because she had had s few abnormal paps. Her wedding was 12/13/14. Her GYN. sent her to an oncologist. The report came back as follows: clinical information: cervical adencervical in situ......... Gross Description: cervical cone - received in formalin is a piece of pink soft-tan tissue with a central so. The specimen with blue ink.the ectocdrvical margins are indicated with black ink. The specimen is serially sectioned three blocks. 11 in toto.
Comment: both the rescidula adenocarcinoma in- in situ and the areas of squamous cell carcinoma in situ can be seen extent indie to the inked surgical margins. No invasive can was seen.


Now last Thursdy, she went back to the oncologist. Clinical information:
Carcinoma in-situ of the cervix, uteri.
Gross description description: "endocervical biopsy" multiple soft Gray-white glistening tissue. O.3 x 0.3 x p.1 cm in aggregate. One block.
Fragments in toto.

Comment: XXXXXXX had a cervical biopsy approximately 4 months ago showing endocervical glandular adenocarcarcinoma in-situ(OS-14-5778.)

The present endocervical biopsy shows only tiny detached fragments of squamous mucosa, some of which shows high grade dysplasia. There is insufficient tissue to determine whether or not fully squamous cell.
Carcinoma in-situ is present. No glandulular cells are present in these biopsy fragments. Additional tissue analysis my be indicated upon specificicclinical circumstances. Clinical correlation is recommened.

DX CODE: 88305

DIAGNOSIS:
Endocervical Biopsy:
Tiny detached fragments of squamous mucosa showing high grade squamous . squamous intraepithelial lesion (moderate squamous dysplasia.
then it tells me to see comment for discussion. My concern is that this is all precancerous. The one in November said no invasive cancer. She was a CIN3
doctor
Answered by Dr. Manisha Jain (59 minutes later)
Brief Answer:
surgical removal mandatory

Detailed Answer:
Hello mam, thanks for trusting health care magic.
I understand your anxiety related to the issue.
Yes all these are precancerous lesions and thus she needs surgical removal of the involved region as soon as possible.
Visit an oncosurgeon for proper evaluation and excision of the involved tissue.
Good surgical technique is the cornerstone because she just got married and thus yet to bear children so good technical hand will remove the cancerous tissue and save her reproductive functions too.
In case you have any questions about it I will be glad to answer.
Regards
Dr Manisha
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Manisha Jain

OBGYN

Practicing since :2007

Answered : 5136 Questions

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What Does My Endocervical Biopsy Report Indicate?

Brief Answer: surgical removal mandatory Detailed Answer: Hello mam, thanks for trusting health care magic. I understand your anxiety related to the issue. Yes all these are precancerous lesions and thus she needs surgical removal of the involved region as soon as possible. Visit an oncosurgeon for proper evaluation and excision of the involved tissue. Good surgical technique is the cornerstone because she just got married and thus yet to bear children so good technical hand will remove the cancerous tissue and save her reproductive functions too. In case you have any questions about it I will be glad to answer. Regards Dr Manisha