Doctor insights on:
Atypical Granular Cells Pap Smear
Should a person have a follow-up Pap smear immediately after atypical cells are found, or should they wait 6 months?
REPEAT PAP: MAY NEED MICROSCOPIC EXAM OF THE CERVIX; FOLLOW UP CLOSELY WITH GYN ...Read more
My pap smear and my results were endocervical/transformation zone component atypical squamous cells of undetermined significance?
Following pap smear I need to have a colposcopic examination with biopsy and 'atypical spindle cell tumour needs to be excluded'. What is this?
ASCUS: The preferred approach for evaluation of women ages 25 or older with ASC-US cytology is testing for high-risk types of HPV with triage of women who test positive to colposcopy. Use of HPV testing to triage further evaluation of ASC-US is the most effective strategy for detecting high-grade premalignant disease or cervical cancer. ...Read more
Pap Smear done 8 months back, no atypical cells, only mild inflammatory smear. Doctor said it is normal, should the test be repeated any time soo?
No. Not needed.: It's good news if the cells where not abnormal. Some inflammatory changes are not worrisome. It is also important to know if the HPV test was done. HPV is a virus which may lead to abnormal cells in time. If not the HPV and cells were both negative, you should have nothing to worry about regarding cervical cancer. Inflammatory changes are usually self limited and may be due to hormonal factors. ...Read more
Got pap smear done and it came back as "HPV Negative' However some atypical cells were found. What are atypical cells? What causes them? Is it cancer?
If pap smear is abnormal, atypical squamous cells of undetermined endocervical/squamous metaplastic cells are present. + HPV is positive. I worry?
Pap smear says atypical squamous cells of undetermined significance. No trichomonas seen, scanty polymorph nuclear cells, gram positive bacilli. Mean?
Can a pap smear turn out abnormal (atypical epithelial cells, neg hpv) if I just had miscarriage 3 weeks before?
Pap Smear result: A single group of spindle cells admixed with neutrophils is seen representing atypical spindle cell proliferation. Is it cancer?
Several points. First, you need more than atypical to say it is cancer. They have to look quite abnormal and/or be growing abnormally. HOWEVER, there are reports of groups of atypical spindle cells popping up everywhere due to cancer (lymphoma). That would be cancer. Or growing really fast (cancer).
At a minimum. Watching it Really closely. ...Read more
Atypical glandular cells - favor neoplastic was my pap smear test result. Negative colposcopy- & endocervical curretings result. Please explain.
Reactive cellular changes associated with inflammation. Atypical endocervical cells seen. On my pap smear result. Am I at risk to cervical cancer?
HPV test?: Unfortunately, anyone who has had genital contact is at risk for cervical cancer because the human papilloma virus is so widespread. Usually when we find atypical cells on a pap smear, we reflexively test for hpv. If it is positive, then you do have a small risk for dysplasia or precancer, but if it is negative, you have almost no risk. If your hpv test is (+), you will need follow up. ...Read more
Will atypical squamous cells (ASCUS) due to chlamydia show up in a Pap smear after only 3 days after sex? Are those cells visible immediately?
Whoa: ASCUS may be due to HPV, inflammation, or an overcall by a concerned technologist. No one knows how fast they can pop up. There's a protocol for following them up. I'd be surprised if they could develop 3 days after meeting the chlamydia. Treat the infection and repeat the test. Best wishes. ...Read more
Depends on the type: And severity of abnormality. Mild dysplasia requires yearly repeat paps. Other types of abnormalities may require colposcopic examination, with or without biopsy. It would be prudent to follow your doctor's advice. ...Read more
A warning: Women with cells that have certain abnormal appearances are much more likely to develop cancer of the cervix or nearby structures. If the area with the cells can be found and removed before it turns cancerous, a life has likely been saved. Before pap smears, cancer of the cervix was a horribly common scourge of young women, as it still is in the poor nations. ...Read more
Abnormal PAP: We do pap smears to screen for cervical cancer cells. The pap smear has helped us reduce cervical cancer to very small numbers. We think that cancer forms in stages over many years (about 10-15). The cells get progressively abnormal before they become cancerous and this is the opportunity that the pap smear gives us. Remove/kill the abnormal cells before cancer develops. ...Read more
A number of things: Atypical cells of undetermined significance (ascus) can represent a precancerous condition or may be associated with a variety of benign entities. The diagnosis must be interpreted in relation to other factors, such as the results of hpv testing, if performed. As such, the diagnosis of ascus "pigeon-holes" you into a defined follow up schedule that should be adhered to. ...Read more
After having a pap smear I was told I had abnormal cells. Can anyone explain this to me in more detail?
ASCUS: Abnormal cells in pap smears = atypical squamous cells of undetermined significance (ascus). This means that there are some "funny looking" cells that are not otherwise classifiable. Usually your doctor will recommend some sort of follow up including a repeat pap smear and/or colposcopy if this particular finding keeps recurring. ...Read more
Of the cervix: That is the purpose of a pap. ...Read more
Not normal: Generally it is considered abnormal when that happens - it should be investigated. ...Read more
In situ Ca: Pap smears define the presence of cells that have been curetted or shed from the cervix. The test which is about 60% accurate defines early malignancy where there is no cervical bleeding or lesion seen on colposcopy. Abnormal cells require biopsy to see if in situ cervix ca is developing. ...Read more
Normal: Metaplastic cells are completely normal findings on a pap test. What we are looking for is "dysplastic" or "neoplastic" cells. ...Read more
Follow advice: There is no immediate concern. You should follow your doctor's advice for repeat testing. ...Read more
You need to followup: There are several categories of abnormal paps. Each category has a risk of finding a cervical precancer or (more rarely) a cancer associated with it. Your doctor may look at the cervix with a colposcope to get a magnified view of any abnormalities and may even take a small biopsy. It is important for you to contact your doctor about these abnormalities. ...Read more