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Does a normal cervical biopsy and normal colposcopy rule out HPV even if your Pap was abnormal?
Wiki User
∙ 14y ago
A pap test is just a pre screening to Cervical cancer. If the pap test was abnormal, it only indicates an abnormal cell growth on the cervix. A separate test called the HPV test needs to be done to rule out HPV. It is not normally offered or routinely done, it is something that you would have to ask for. You would have been notified if a test was done and you tested positive for HPV. If there was any kind of abnormality during the pap test and the cervical and colposcopy came out normal, you should err on the safe side and still request an HPV test if you suspect you have it.
Wiki User
∙ 14y ago
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What is the medical term meaning removal of core of cervical tissue for biopsy?
Core biopsy of the cervix is not a normal procedure. Cone biopsy of the cervix is the medical term of removal of a portion of the cervix surrounding the cervical os.
What does it mean for pap to be normal?
A normal pap is a good thing! It means there are no abnormal cervical cells, which is what they look for when screening for Cervical cancer.
Is it common to have normal results from a colposcopy and leep procedure after an abnormal pap result?
It would be unusual to have a completely normal result on a colposcopy after a pap result severe enough to warrant a colpo. It is not unusual to have CIN I/mild dysplasia on colpo after a pap. It would be extremely unusual to have a LEEP after a normal biopsy. I suspect that there may have been some misunderstanding or miscommunication regarding your results. Please contact your health care provider to clarify (and get a copy of) your pap results and the results of your coloposcopy and LEEP biopsies.
What are normal results for a cone biopsy?
Numerous studies have indicated that cone biopsy is successful in excising all cancerous tissue in 90% of patients with cervical cancer.
Colposcopy - directed biopsy?
DefinitionA colposcopy is a special way of looking at the cervix. It uses a light and a low-powered microscope to make the cervix appear much larger. This helps your health care provider find and then biopsy abnormal areas in your cervix.Alternative NamesBiopsy - colposcopy - directed; Biopsy - cervix - colposcopy; Endocervical curettage; ECC; Cervical punch biopsy; Biopsy - cervical punch; Cervical biopsyHow the test is performedYou will lie on a table and place your feet in stirrups to position your pelvis for examination. The health care provider will insert an instrument (speculum) into your vagina to open the vaginal walls and examine the cervix.The cervix and vagina are gently swabbed with dilute vinegar (acetic acid). This removes the mucus that covers the surface and highlights abnormal areas. Sometime an iodine-based solution (Lugol's) similar to solutions used for cleaning skin may also be swabbed on the cervix and vagina.The health care provider will place the colposcope at the opening of the vagina and examine the area. Photographs may be taken. The colposcope does not touch you.If any areas look abnormal, a small sample of the tissue will be removed (biopsy) using small biopsy forceps. Many samples may be taken, depending on the size and location of the area. Sometimes a tissue sample from inside the cervix is removed. This is called endocervical curettage (ECC).How to prepare for the testThere is no special preparation. You may be more comfortable if you empty your bladder and bowel before the procedure.You should not douche, place any products into the vagina, or have sexual intercourse for 24 hours before the exam. You should not be menstruating heavily. However, if you are at the very end or beginning of your regular period or you are having abnormal bleeding, you should still keep your appointment.You may be able to take ibuprofen or acetaminophen (Tylenol) before the colposcopy. Ask your doctor if this is okay, and when and how much you should take.Tell your doctor before the test if you are pregnant or could be pregnant.How the test will feelThe placement of the instrument (speculum) to better see the cervix may be more uncomfortable than for a regular Pap smear.Some women feel a slight sting from the vinegar or Lugol's solution.The biopsy or curettage may feel like a pinch or cramp each time a tissue sample is taken. You may have some cramping or slight bleeding after the biopsy. Heavy bleeding is unusual; if you have bleeding that soaks a pad in an hour, call your doctor. Do not use tampons or put anything in the vagina for several days after a biopsy.It is typical for women to hold their breath during pelvic procedures because they expect pain. Concentrating on slow, regular breathing will help you relax and relieve pain. Ask your doctor or nurse about bringing a support person with you if that will help.Why the test is performedColposcopy is done to detect either cancer of the cervix or changes that may lead to cancer at an early stage.This procedure is most often done when you have had an abnormal Pap smear. It may also be recommended if you have bleeding after sexual intercourse.Colposcopy may also be done when your health care provider sees abnormal areas on your cervix during a pelvic exam. These may include:Any abnormal growth on the cervix, or elsewhere in the vaginaGenital wartsor HPVIrritation or inflammation of the cervix (cervicitis)The colposcopy may be used to keep track of HPV, and to look for abnormal changes that can come back after treatment.Normal ValuesYour doctor should be able to tell you about anything abnormal that was seen during a colposcopy. A smooth, pink surface of the cervix is normal.A specialist called a pathologist will examine the tissue sample from the cervical biopsy and will report to your doctor whether the cells appear normal or abnormal. Results of a biopsy most often take 1 - 2 weeks. If the biopsy results are normal, it means that no cancer or precancerous changes were seen in the cells.What abnormal results meanAbnormal findings that may be seen during the colposcopy include:Abnormal patterns in the blood vesselsAreas that are swollen, worn away, or wasted away (atrophic)Cervical polypsGenital wartsWhitish patches on the cervixAbnormal biopsy results may include:Cancer of the cervixCervical intraepithelial neoplasia (precancerous tissue changes that are also called cervical dysplasia)Cervical warts (infection with human papilloma virus, or HPV)What the risks areAfter the biopsy, you may have some bleeding for up to a week. You may have mild cramping, your vagina may feel sore, and you may have a dark discharge for 1 - 3 days.A colposcopy and biopsy will not make it more difficult for you to become pregnant, or cause problems during pregnancy.Call your health care provider if:Bleeding is very heavy or lasts for longer than 2 weeks.You have pain in your belly or in the pelvic area.You notice any signs of infection (fever, foul odor, or discharge).Special considerationsYou may have some bleeding after the biopsy for up to 1 week.You should not douche, place tampons or creams into the vagina, or have sex for up to a week afterward. Ask your doctor or nurse how long you should wait. You can use sanitary pads.If the colposcopy or biopsy does not show why the Pap smear was abnormal, your health care provider may suggest that you have a more extensive biopsy.See also: Cold knife cone biopsyReferencesAmerican College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 99: management of abnormal cervical cytology and histology. Obstet Gynecol. 2008;112:1419-1444.Apgar BS, Kittendorf AL, Bettcher CM, Wong J, Kaufman AJ. Update on ASCCP consensus guidelines for abnormal cervical screening: tests and cervical histology. Am Fam Physician. 2009;80:147-155.Noller KL. Intraepithelial neoplasia of the lower genital tract (cervix, vulva): Etiology, screening, diagnostic techniques, management. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, Pa: Mosby Elsevier;2007:chap 28.
Why is vinegar used during a colposcopy?
The cervix and vagina are swabbed with dilute acetic acid (vinegar). The solution highlights abnormal areas by turning them white (instead of a normal pink color). Abnormal areas can also be identified by looking for a characteristic pattern
What is the medical term meaning normal coloposcopy?
A normal colposcopy is described as showing no dysplasia or normal epithelium.
What happens if a leep procedure doesn't remove all the abnormal cells?
If all the normal cells aren't removed, then either your body will help heal the reduced number of abnormal cells, and your next pap will be normal, or your next pap will be abnormal and a repeat colposcopy will be needed. The scenario you describe is not common, and I urge you to contact your health care provider to discuss your question so you can put your mind at ease.
What does being diagnosed with atypical glandular cells mean given no sign of hpv but scheduled for a biopsy and colposcopy?
Atypical glandular cells of undetermined significance (AGC-US) is a finding made upon cervical cytology. Atypical Glandular Cells are a finding that have been associated with pre-malignant and malignant diseases, as well as error in reading the sample. In short, it simply means the glandular cells that were sampled did not look 100% normal. This can be caused by a variety of issues, but needs to be clarified, so a biopsy is indicated to obtain further tissue. A pathologist, a physician who specializes in the microscopy of tissues, will examine the biopsy and provide more information.
Is it normal to be abnormal or abnormal to be normal?
Both.
What is the opposite of normally?
Abnormal
Is it normal to be abnormal?
abnormal is anything that is not considered as normal
