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What Does The Following Pap Smear Test Results Indicate?

Posted on Mon, 9 Feb 2015

Question: Hi, I got a call from my doctor and I have abnormal Pap smear and this is what it said on my result page. EPITHELIAL CELL ABNORMALITY. HIGH-GRADE SQUAMOUS INTRAEPITHELIAL LESION (HSIL); MODERATE TO SEVERE DYSPLASIA IS PRESENT. PREDOMINANCE OF COCCOBACILLI CONSISTENT WITH SHIFT IN VAGINAL FLORA IS PRESENT. Does this mean I have cancer and/or HPV?? They still need to run more test, my last pap smear was normal and that was in 2011. I just freaking out, are pap smear test very accurate?

Answered by Dr. Som Biswas (1 hour later)

Brief Answer:
It means pre cancerous

Detailed Answer:
Hi,

I understand your concern.

your report means that there are some changes which are pre cancerous which is generally due to HPV.

It does not mean you have cancer right now but means that you have higher chance of developing cancer in the future.

These pap tests are not very accurate and i will advise a repeat pap after 2 weeks of antibiotics and also a colposcopy and biopsy.

Do not worry too much, as even if it is correct then also you have high cure rate.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Som Biswas (19 hours later)

Thank you for your help. I'm just really scared. I'm a single mom of a 5 year old boy and I just want everything to be ok.

Answered by Dr. Som Biswas (3 hours later)

Brief Answer:
I can understand

Detailed Answer:
I can understand.

Do not worry. Just be regular with your doctor's appointments and follow what they tell you

Regards

Dr Som

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. Raju A.T