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What Does This Pap Smear Test Result Post Hysterectomy Indicate?

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Posted on Mon, 4 Jul 2016
Question: I have a high risk squamous something something pap (which is the third one I've had since 2001.) The doc called and told me that result and wants me to come in and do some kind of cervical biopsy. I have had a total hysterectomy, etc and the last "laser" surgery, the oncologist told me all i have left is my vagina, vulva but no cervix. Since she can not do a cervical biopsy (obviously), what kind biopsy can she do?
ALSO, i have HPV with 14, 15, 18 in the numbers that are high risk (plus several other numbers).
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Answered by Dr. Robert Galamaga (2 hours later)
Brief Answer:
Considerations

Detailed Answer:
hello & thank you for submitting your question.

It sounds as if your Pap smear results were High Grade Squamous Intraepithelial Lesion (HSIL). The human papilloma virus can infect the tissues of the vulva and vagina, as well as the cervix.

having a hysterectomy does remove most of the cervical tissue but there can be some remnant of cervical tissue left behind. It is important that you continue to have regular Pap smears in the future.

Your doctor has recommended a biopsy to make sure that you do not have any type of invasive component of tissue changes that would require some type of additional intervention.

regarding the biopsy, your doctor will perform a biopsy of the tissue in the area of your original cervix or any other suspicious appearing tissue visualized during the procedure.

Thank you again for sending your question. It appears that your doctors are being very thorough and follow up and surveillance for you.

I wish you all the best and continued good health.

Sincerely,

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

Oncologist

Practicing since :2002

Answered : 2635 Questions

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What Does This Pap Smear Test Result Post Hysterectomy Indicate?

Brief Answer: Considerations Detailed Answer: hello & thank you for submitting your question. It sounds as if your Pap smear results were High Grade Squamous Intraepithelial Lesion (HSIL). The human papilloma virus can infect the tissues of the vulva and vagina, as well as the cervix. having a hysterectomy does remove most of the cervical tissue but there can be some remnant of cervical tissue left behind. It is important that you continue to have regular Pap smears in the future. Your doctor has recommended a biopsy to make sure that you do not have any type of invasive component of tissue changes that would require some type of additional intervention. regarding the biopsy, your doctor will perform a biopsy of the tissue in the area of your original cervix or any other suspicious appearing tissue visualized during the procedure. Thank you again for sending your question. It appears that your doctors are being very thorough and follow up and surveillance for you. I wish you all the best and continued good health. Sincerely, Dr. Galamaga