Doctor insights on:
What Is Cervical Dysplasia
Abnormal cells: This is complicated so stay with me. Hpv is a virus that can infect cells on the cervix. When hpv gets into the cell it can cause the cell to make abnormal proteins. This makes the cell look different under the microscope. If the infection progresses, the cells can become cancerous. This is rare but dysplasia should be addressed. It can go away on its own in some cases. Others need treatment. ...Read moreSee 2 more doctor answers
Usually HPV virus: Dysplasia is one of the early steps in mucosal transformation. The phenotypic structure of the mucosal cells begins to transform toward malignant phenotype and can be picked up on Pap. With newer monoclonals defining the immunogenic protein characterizing cervical Ca changes, normal mucosal cells can be shown to expression tumor protein even though the cells look normal, the ImmunoPap. ...Read more
PRE-cancer: Dysplasia refers to abnormal cells on the cervical surface that can progress to cancer if ignored. It is usually caused by a virus called HPV. These can be seen under a microscope when a pathologist looks at a biopsy and can be suggested by an abnormal Pap smear. If the dysplasia is "low grade" it may go away on its own. If "high grade" you need treatment by surgery, laser or freezing the area. ...Read more
Nothing good: Cervical dysplasia is what is called a pre-cancerous condition; it's not cancer, but there is a risk that it will develop into cervical cancer. Managing it depends on the degree of the dysplasia, and it is really important that you continue to follow-up with your doctor to prevent it from progressing. The earlier you treat these lesions, the easier they are to control! ...Read moreSee 1 more doctor answer
Different things: Genital warts almost always occur externally (you can see them without a speculum). Most often they will be on the vulva and rarely are they dysplastic (pre-malignant). They are also called condyloma accuminata. Cervical dysplasia occurs on the opening into your uterus and implies pre-malignant changes to the cells. Both are caused by HPV. Your pap tests will evaluate for cervical dysplasia. ...Read moreSee 1 more doctor answer
Cervical Dysplasia: Tests for Cervical Dysplasia include serveral - starting with the PAP test, which is cytology (cells) from the cervix. If this or the High Risk Human Papilloma Virus test is positive, colposcopy (microscopic exam) is done and biopies are taken (small tissue samples). This allows for detection of Uterine Cervical Dysplasia. Treatment is another topic entirely. ...Read more
HPV: The overwhelming majority of cervical dyplasia is caused by hpv (human papilloma virus). Hpv is a virus transmitted sexually. Most cases of hpv will resolve on their own but some cases will persist and lead to precancerous (dysplasia) changes in the cervix. Some cases of cervical dysplasia can progress to cervical cancer so proper follow up with your doctor is key. ...Read moreSee 1 more doctor answer
No symptoms: There are no symptoms that go along with cervical dysplasia/abnormal pap smears leading to precancerous cells of the cervix. This is why having an annual pap smear done is so important. It allows early precancerous changes in the cervix to be diagnosed and treated. Hpv vaccination is recommended for all men and women between 9-26 years old to prevent this problem. ...Read moreSee 1 more doctor answer
Progression: Cervical dysplasia is a gradient with mild changes often reverting to normal spontaneously and more advanced changes possibly leading to cancer. The key is knowing where you lie on that spectrum and also whether HPV (most agree the primary cause) is present. This, along with other factors, will determine appropriate treatment. ...Read more
Precancerous cells: Dysplasia of the cervix are cells which are showing cellular changes consistent with pre-cancerous lesions. They are graded as low-grade (atypia or cin-1) or high-grade (cin 2, 3, or carcinoma in situ). Low grade cells can be followed while high grade lesions need to be identified (colposcopy) & removed (leep or cone biopsy). ...Read more
Yes: Cervical dysplasia, or precancer cells, often go away without treatment and the hpv virus that stimulated the cells to become abnormal can also disappear. If cervical dysplasia doesn't go away, it is treatable and curable by procedures like freezing, laser, or leep which can remove all evidence of abnormal cells along with the hpv virus. ...Read moreSee 1 more doctor answer
Several methods: Cervical dysplasia can be treated by a cone biopsy or leep procedure (in which a small portion of the cervix is removed), or sometimes by laser or cryotherapy(freezing), both of which destroy the abnormal cells but do not remove the area for further examination. There is good evidence that the hpv vaccines can decrease the risk of developing dysplasia in the first place. ...Read moreSee 1 more doctor answer
Usually none: A pap smear is the way most dysplasias are found. Typically there are no symptoms. If one gets regular pap smears starting at age 21 and every 2-3 years thereafter, dysplasia should be caught early. Occasionally you may present with bleeding at weird times or after intercourse or have a watery discharge. This is more worrisome if one has neglected pap test. ...Read more
HPV virus: The entry of the virus into the cervix is the major cause of dysplasia leading to Ca. Thus the value of the PAP which unfortunately does not recognize the premalignant cells, though new IHC for squamous antigen will yield nearly 100% accurate PAP. Circumcision will eliminate the foreskin mucosa where the virus harbors with HIV. ...Read more
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