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Janesville, WI
A 31-year-old female asked:

Can a pap miss adenocarcinoma? concerned because of watery discharge, pelvic and back pain. pap normal, hpv positive.

1 doctor answer1 doctor weighed in
Dr. James Lin
A Verified Doctoranswered
Urology 52 years experience
Yes, rare..., but...: On PAP smear does offer 100% guaranty for not having cancer of cervix since, in life reality, no test has ever yielded 100% of sensitivity or specificity. But coupling (-)-yielded PAP with watery discharge would reasonably sate you have no cervical cancer because recurrent post-coital bloody discharge has been more common. Ask your gyn or PCP if you need to repeat in 6-12 months.
Dr. James Lin
A Verified Doctor commented
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May 16, 2016

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Last updated May 16, 2016

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