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Cause of ineffective LEEP - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   I have got a post-leep diagnosis of mild dysplasia but ant rule out modeae to severe. Waiting to see a specialist. Im nervous. Why did the leep that is supposed to be 90% effective not help me?     
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
User :   hello
User :   what type of dr are you
Doctor :   I am a general practitioner.
Doctor :   the LEEP showed mild dysplasia in the cervix?
Doctor :   what symptoms did you have before this was done?
Doctor :   are you on any medications now?
User :   the pap showed mild, without ruling out moderate to severe... leep was done, confirmed severe (in oct)
Doctor :   please provide your age, location, occupation, height, weight , details of past medical illness if any.
User :   no symptoms
User :   43, self empl, 5'5, 130 lbs.. no major health problems
Doctor :   was the severe dysplasia described as CIN III?
User :   I take synthroid, inderol and lexapro daily, and multi vitamins
Doctor :   ok
User :   they didnt say, I thought CIN 111 meant severe
Doctor :   yes it does mean that the dysplasia is severe, in other words, to say that the entire thickness of the cervix has abnormal cells
Doctor :   and is also known as carcinoma-in-situ
User :   my gyn said it was one step from that
Doctor :   and it should be treated aggressively as it can develop into cancer anytime
Doctor :   follow what your gyne says and go ahead with the treatment as early as possible
User :   what treatment do you recommend?
Doctor :   to prevent it from getting invasive and evolving into full fledged cancer
Doctor :   the treatment will involve killing of the abnormal cells using laser or if the spread is fast, then doing a removal of cervix
User :   if I understand right, it doesnt usually spread to other areas as it is, but it does if it becomes cancer
User :   Ive read it takes years to develop into cancer....
Doctor :   yes, it spreads to other areas involving uterus and tubes and the ligaments very fast if it turn aggressive into cancer
Doctor :   and it can happen anytime with CIN III
Doctor :   which why it should not be ignored
Doctor :   and definitive treatment involving cryotherapy or laser ablation or loop excision, or cone biopsy or hysterectomy should be done at the earliest
User :   then why did my dr tell me that it takes about 7-8 yrs from first abnomal to full blown cancer. I hav e normal one about a year or so ago
User :   had the leep done, still same diganosis, did they not cut deep enough
Doctor :   it takes 7-8 years from CIN I to develop into CIN III and cancer
Doctor :   now you should proceed with the definitive treatment
Doctor :   for a detailed discussion and a second opinion on your condition,
Doctor :   you can take help from our panel specialists
Doctor :   and take a informed decision on what your next step should be
User :   is their a gynocologist on the panel
Doctor :   WWW.WWWW.WW
Doctor :   visit this link to speak to a gynecologist
Doctor :   Dr. xxxx
Doctor :   and get all your doubts cleared about your condition and recent treatment options avialable
Doctor :   you can send copies of your reports to YYYY@YYYY
User :   ok, thanks, but at this stage its pretty curable?
Doctor :   such that Dr. xxxx can also go thorugh your reports
Doctor :   before she gives you her opinion
Doctor :   the earlier the intervention is done, the better it is
Doctor :   as it prevents further spread through blood and lymph
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