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Pap Smear Showed HGSIL With Features Of Suspicious Invasion. Chances Of Cervical Cancer?

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Posted on Tue, 12 Mar 2013
Question: My wife had a pap smear done recently. It came back HGSIL with features of suspicious invasion. The features of suspicious invasion. Is that a term that means cancer is detected? Could this diagnosis mean cervical cancer? She has had light spotting, but generally no other symptoms.
doctor
Answered by Dr. Nilofer AR (7 minutes later)
Hello,
Thanks for the query.

Can you please provide me more information about the following so as to come to a right diagnosis:
1. What is the age of your wife?
2. Has she received HPV vaccine before?
3. What were her previous pap smear reports?
4. What are her symptoms other than spotting like post coital bleeding, intermenstrual bleeding?

waiting for your reply.
regards,
Dr Nilofer
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Nilofer AR (14 minutes later)
1. What is the age of your wife? She is 40

2. Has she received HPV vaccine before? No Vaccine but tested positive for HPV

3. What were her previous pap smear reports? HGSIL with features of suspicious invasion

4. What are her symptoms other than spotting like post coital bleeding, intermenstrual bleeding? Yes post coital bleeding. No intermenstrual bleeding
doctor
Answered by Dr. Nilofer AR (1 hour later)
hello,
Thanks for the query.

High grade squamous intraepithelial lesion (HGSIL) indicates carcinoma in situ. The lesion is confined to epithelium.
HGSIL does not mean that cancer is present. However ,around 20% will progress to invasive cervical cancer without treatment.
In your wife's case it is suspicious invasion which needs to be confirmed by colposcopic directed biopsy and histological evaluation.

So i recommend your wife to get a colposcopic biopsy before concluding any report of pap smear.

Treatment of HGSIL includes cryotherapy which has high cure rates. So there is nothing to worry about.

Hope this answers your query,
regards,
Dr Nilofer
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Nilofer AR

OBGYN

Practicing since :2006

Answered : 828 Questions

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Pap Smear Showed HGSIL With Features Of Suspicious Invasion. Chances Of Cervical Cancer?

Hello,
Thanks for the query.

Can you please provide me more information about the following so as to come to a right diagnosis:
1. What is the age of your wife?
2. Has she received HPV vaccine before?
3. What were her previous pap smear reports?
4. What are her symptoms other than spotting like post coital bleeding, intermenstrual bleeding?

waiting for your reply.
regards,
Dr Nilofer