Had An Atypical Pap And Scheduled Cold Knife Conization. Recommended D And C Surgery. Need Advise?
You can take a second gyn onc opinion
Detailed Answer:
Hi
thanks for your query.
It appears that the final histopathology was not suggestive of high grade dysplasia or carcinoma in situ. In that event, transformation to malignancy would be rare. But still, we need to follow up with Pap smears regularly. If good pap smears can't be obtained in routine office exam then d & c seems reasonable. I assume that the clinical exam was otherwise normal.
Also I feel that going for conization when Pap smear shows high grade lesion is justified. A negative D & C at that point would not have sufficed. So I don't think you are being made a cash cow here. Again, nobody can advise hysterectomy upfront for only dysplasia, without trying other measures.
However, if you do not feel satisfied with you current doctor, you can take a second opinion, which can reassure you.
Hope I have answered your query. I will be available to answer further followup queries, if any.
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Detailed Answer:
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