Doctor insights on:
Lining of cervix:
The uterine cervix is lined by squamous epithelium on the outside, but the canal of the cervix is lined by columnar cells and these cells are called endocervical cells. See this site for more info.
http://www. Health. Gov. Au/internet/screening/publishing. Nsf/content/results. ...Read more
Depends: The endocervix is the inside of your cervix and has a different cell type than the outside of your cervix. Usually a pap smear that is done in a woman with a cervix will have an endocervical component meaning that the cells inside the cervix were also sampled. This is an indicator that a good sample was obtained. Usually if the pap smear was in adequate and needed to be repeated the pathologist would have stated that on the report. ...Read more
Good sample: That is just pathologist speak for a good cervical sample. No worries ...Read more
These are benign...: "intermediate and superficial squamous cells" are normal cells from the ectocervix (outer cervix). These cells are not premalignant or malignant. If you underwent an endocervical biopsy / curettage, and only intemediate and superficial cells were seen, then the biopsy may not have obtained the lining of the interior portion of the cervix, and you might need additional sampling. Ask your doc. ...Read more
I feel one dise of the endocervical canal harder than the other side feel soft is this is normal?
Not sure: It is not possible to feel your endocervical canal by yourself. So I'm not sure how you would know if one Side feels more firm than another. If concern, best to see your GYN provider for examination. Hope this was helpful. Best of luck. Dr. R ...Read more
What does it mean if you have very rare benign minute fragments of endocervical glandular tissue?
Endocervical/tissue: A "pap smear" may contain some tissue from the canal leading to the womb (endocervical canal) which grows out over the surface of the cervix and is seen on the pap smear. With a "D&C" some fragments of endocervial glandular tissue will be seen on pathologic diagnostic microscopic exam. This tissue was benign, therefore nothing to worry about. ...Read more
Satisfactory for evaluation. Endocervical cells are present Reactive cellular changes associated with inflammation?
Irritated Cervix: "Satisfactory for evaluation Endocervical cells are present" means that it was a good sample and contains the proper cells for evaluation. "Reactive cellular changes associated with inflammation" means that inflammation is present. Cervical inflammation can result from simple irritation or an infection on the cervix. It doesn't mean there is any cancer or pre-cancer there. Best wishes! ...Read more
Does this mean my margins are clean: note: the lesion extends to the endocervical margin. Ki67 and p16 immunostains were done?
Maybe not: According to this report, the lesion that was removed from your cervix extended up to the margin of the endocervix (the part of the cervix that can't be seen, higher up). This is usually followed by a repeat pap smear with an endocervical biopsy a few months after the procedure you just had. How soon depends upon the severity of the lesion. ...Read more
Bx cervix: Reactive cells defined on Pap and probably not on bx-colcoscopy. Pap smear stain only indicates cell type based on shape and as such has a 40% error. Monoclonals specific to cervix Ca being planned for clnical trials. It picks up presence of squamous Ca protein only found in normal cells expressing the protein. When available this test will be 100% accurate and suggest when Ca is developing. ...Read more
Close FU: Perhaps repeat in 6 months to make sure. ...Read more
Adequate smear: If your smear reveal endocervical and squamous cells, it means your smear is satisfactory for evaluation, adequate to rule out human papilloma virus changes, to rule out high or low grade intraepithelial neoplasia. ...Read more
Ask yiour Gynecologi: The doctor who did the test can explain it better. But basically the test is looking for cancer cells which your report says you do not have at the present time. But continue to follow with annual pap tests so that this abnormalityy (minimal abnormality) resolves or gets monitored for any worsening. It is all a very slow process, not of any immediate concern but not always predictable. ...Read more