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A 52-year-old member asked:

If you have high-grade cervical dysplasia, does that mean that you have cancer cells?

2 doctor answers6 doctors weighed in
Dr. Brandon Smithey
Specializes in Pathology
No: A high-grade squamous intraepithelial lesion (hsil) on pap smear typically equates to moderate to severe squamous dysplasia on cervical biopsy, a precursor to invasive cancer with high-grade lesions being more likely to progress (as opposed to low-grade lesions). Areas of high-grade dysplasia are typically surgically excised so that the chance of progression to invasive cancer is minimized.
Dr. Morton Levitt
A Verified Doctoranswered
A US doctor answeredLearn more
High Grade Dysplasia: High grade dysplastic cells are pre-cancerous cervical cells that are limited to the cervical mucosal lining and have not invaded the tissue underneath. If untreated, you are at risk, months or years from now, for invasive cervical cancer. That is why your gynecologist will follow up with you and recommend one of several treatments to eradicate all of them and prevent such an event from occurring.

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A 35-year-old member asked:

If you have high-grade cervical dysplasia, do you have cancer cells?

1 doctor answer3 doctors weighed in
Dr. Peter Sadow
Pathology 17 years experience
Not likely: High grade dysplasia is pre-cancerous, but patients with high grade dysplasia are susceptible to developing cancer. Because of the very high risk of developing cancer in association with high grade dysplasia, most patients are treated by a procedure called leep/cone. However, the treatment process is a collaboration between the patient and gyn, and you could request a second pathology review.

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Last updated May 12, 2014
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