WOMENS-HEALTH Messages for December, 1999: Re: Abnormal Pap Smear, why do I wait three months for next?

Re: Abnormal Pap Smear, why do I wait three months for next?

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 27 Dec 1999 19:15:52 -0600 (CST)

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Feel free to send a new message rather than responding to another one. I deleted the other message for you this time. ;-)

HSM

At Mon, 27 Dec 1999, anonymous@obgyn.net wrote: >
>Maybe you can help me to understand LSIL. I have read many e-mail
>messages and I am confused.
>
>My daughter is 25 and has been getting abnormal pap results for the last
>year or so. Just today she first heard of LSIL. What exactly is it?

SIL is Squamous (skin-like cell) Intraepithelial (within the skin-like layer) Lesion. There is Low level SIL and High level SIL, know as LoSIL and HiSIL. These are comparable to the older terminology of CIN 1-2 being LoSIL and CIN 2-3 being HiSIL and CIN is comparable to the even older terminology, dysplasia - mild (1), moderate (2) and severe (3). It is a precancerous lesion of the cervix frequently caused by a virus family known as H(uman) P(apilloma) V(irus).

>why so many repeat paps?

Can't say. ?precursors to the precursor? ?infection?

>I am 41 and never heard of if.
>
>My daughter is finally being referred to a GYN next week and I plan to
>go with her. Are there any questions we should ask? Is this related to
>cervical cancer? Is there treatment and a cure?
>

The answer with respect to cervical cancer is, if the virus is a wart-like virus type (HPV Type 6, 11, etc) the liklihood of cancer in the future is low. If the HPV type is 16, 18, etc, the liklihood increases. The treatment depends upon the results of a colposcopy. This is an examination of the cervix under magnification whereby a biopsy or bipsies of the cervix are done under direct visualization. These biopsies indicate what the next step should be - observation, cryosurgery (freezing) or LEEP (removal of a portion o the cervix under local block). These treatments are NOT cures but after treatment, the "disease" may never return. We're waiting for a cure.

>Please help we would like to better understand LSIL.
>
>Thanks,
>
>--
>Lisa (Indianapolis)
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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