If you have had an abnormal pap smear then your cervix needs to be evaluated for dysplasia. Dysplasia is not cancer, but it can turn into cancer if it is not treated. By proper treatment of dysplasia and by proper follow-up, we can significantly reduce the chances that cancer might develop. Dysplasia may be low grade (LGSIL) or high grade (HGSIL) or if severe, CIS (carcinoma in situ).
Watchful waiting – close follow-up
Interval pap smears
Magnification and tissue sampling
Loop Electrosurgical Excision Procedure (LEEP)
Excision with Scalpel – uncommon
Removal with a laser – less common
Hysterectomy for recurrent High Grade or cancer
Treatment choice depends on the severity of the abnormality, how widespread it is, the patient’s age, childbearing desires, available resources, physician training and patient preference. There are some cases that can (and should) be carefully followed without treatment if the physician and patient are willing.
MARKEDLY ABNORMAL PAP SMEARS REQUIRE A BIOPSY OF THE CERVIX (APPEARANCE BELOW)