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Cancer > Cervical Cancer and Ovarian Cancer Forum > Discrepancy Between Pap And Colposcopy Biopsy
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Q: Discrepancy Between Pap And Colposcopy Biopsy
asked by: beyondscared222 on October 31st, 2007
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About 3 months ago when I had a pap smear come back HGSIL 1 - 111 - severe dysplasia. This was my first abnormal pap. I had a colpo around Aug 10th and the biopsy came back completely clear - which is strange. My dr said I just needed to come back in 3 months and have another colpo due to this discrepancy. In the meantime I got married and was away on honeymoon etc. I scheduled a second opinion, but due to my schedule and ability to get an appt with the new dr, I just got in to see her this week. She seemed to be under the impression that this was a very serious situation, and that my pap showed "almost" cancer and she implied that something more should have been done. Now I am waiting on results from her pap. And I am terrified again. Have I and my original dr compromised my health? Could it have turned into cancer now? I want to have a baby next year. Anyone else experienced these sort of discrepancies??
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Mabel
replied on October 31st, 2007
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Pap smears ARE NOT diagnostic. Pap smears only suggest whether or not a colposcopy should be done. Many times a pap smear will come back HGSIL and when the actual colpo/biopsy is done, there is nothing there.

'Almost' cancer is not actual cancer. High grade dysplasia is 'Almost' cancer. How long will it take to turn into cancer? A very long time. Not in the few months since you had your biopsy.

It sounds like this doctor is being thorough. But it also doesn't sound like there is anything to get overly worried about.

Remember, pap smears WILL NOT diagnose anything at all. Pap smears are only meant to see if you need further testing (a colposcopy and a biopsy). The only diagnostic test is a biopsy. Which you've had and it was clear.

Good luck! Try not to worry.
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