Low grade squamous intraepithelial lesion (LSIL)

Posted by pb50 @pb50, Feb 16 10:37am

I am 74 years old and had all but one ovary removed in 1988. That ovary was resorbed fairly quickly and I went through abrupt menopause. I haven’t had a Pap test for quite a while - not needed in my case per guidelines.

A new Gynecologist said because I had cryosurgery for a Pre-cancerous condition on my 20’s I should have one.

The result just came in and it says:

Low grade squamous intraepithelial lesion (LSIL)

I haven’t spoken to Doc yet but this seems bizarre??

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@ladee

Pb50~Game20I8 have recently experienced many of the same diagnosis. Had complete hysterectomy 40 years ago! Noticed changes in the vulva area decided to get a Pap smear. Wow! Abnormal (1st ever) pap, LS, HPV, HSIL. Undecided if I had a cervix, had vaginal ultrasound. No Cervix! Next colposcopy, vinegar solution showed white spots (I could see it on the camera screen) then biopsy. VAIN 1, HSIL
Then as Gyno Doc was finishing says you need to go back to dermatologist and have the brown spots Biopsied on vulva for melanoma. Came back benign on brown spots.
Never knew all the possible cancerous conditions. Said, See you in a year. Will be a long year

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Way to direct your own healthcare!! Not great results but absolutely great that you directed the discovery. Now you can pursue the resolution. Good luck!!

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@pb50

Thank you all for your contributions. I went today for the colposcopy. She found an area that had a different appearance than neighboring cells. She biopsied that and expects the lab report to say I should have another pap in a year. She also told me that even if I never had an abnormal pap, they left one ovary and notwithstanding it has resorbed, the cells are still there and could turn cancerous.

@naturegirl5

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Pb50~Game20I8 have recently experienced many of the same diagnosis. Had complete hysterectomy 40 years ago! Noticed changes in the vulva area decided to get a Pap smear. Wow! Abnormal (1st ever) pap, LS, HPV, HSIL. Undecided if I had a cervix, had vaginal ultrasound. No Cervix! Next colposcopy, vinegar solution showed white spots (I could see it on the camera screen) then biopsy. VAIN 1, HSIL
Then as Gyno Doc was finishing says you need to go back to dermatologist and have the brown spots Biopsied on vulva for melanoma. Came back benign on brown spots.
Never knew all the possible cancerous conditions. Said, See you in a year. Will be a long year

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Thanks for your reply. I was told it is very likely my result was related to HPV. I don't understand enough about how it presents to respond.

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@naturegirl5

@brandysparks @pb50 I recall that my gynecologist told me several years ago that after age 65 I no longer needed a pap smear if I had never had an abnormal one. Well, when I was diagnosed with endometrial cancer at age 67 that changed everything since my cervix was removed along with the uterus, fallopian tubes, and ovaries. Still, that advice stuck in my mind. Since @brandysparks was given the same advice I thought I would look it up. Here is information from the NIH-National Cancer Institute on cervical screenings in women over age 65.

Catch-Up HPV Testing May Help Prevent Cervical Cancer in Some Over Age 65:

-- https://www.cancer.gov/news-events/cancer-currents-blog/2023/catch-up-hpv-testing-older-women

About ten years ago a nurse practitioner I saw in gynecology ordered blood tests that included testing for HPV. I was negative. I'm going to ask my primary care physician about this because even though I no longer have a cervix I have read that HPV is implicated in other cancers.

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Thank you.

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@naturegirl5

@pb50 Oh, I'm so happy to hear that you'll get the pathology results back so quickly. In my experience (locally) pathology has signed out results quickly but then it gets held up it transmit to my physician. That's really frustrating. Now that I'm going to other practices outside my local area (Mayo Clinic and Bellin Health) I get results within a day or two. Anyway, it's nice that your gynecologist gave you her impression.

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It would seem you are correct. 🙂 no report this morning. At the multidisciplinary clinic where I get most of my care (but didn’t like the Gyn doc) they have their own lab for most things so I’m accustomed to quick results. Given this is Friday I guess I won’t see results until Monday earliest.

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@pb50

No but my experience in this area is that they are really responsive. It won’t surprise me to see it tomorrow morning.

She didn’t seem to expect them to find anything that suggests A needed response.

Thanks for your interest

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@pb50 Oh, I'm so happy to hear that you'll get the pathology results back so quickly. In my experience (locally) pathology has signed out results quickly but then it gets held up it transmit to my physician. That's really frustrating. Now that I'm going to other practices outside my local area (Mayo Clinic and Bellin Health) I get results within a day or two. Anyway, it's nice that your gynecologist gave you her impression.

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@naturegirl5

@pb50 Thank you for sharing this update. I hope that the biopsy doesn't show anything of concern. Your gynecologist certainly is on top of your things and I hope will continue to follow you. Did she say when she expects to hear back from the lab about your biopsy?

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No but my experience in this area is that they are really responsive. It won’t surprise me to see it tomorrow morning.

She didn’t seem to expect them to find anything that suggests A needed response.

Thanks for your interest

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@pb50

Thank you all for your contributions. I went today for the colposcopy. She found an area that had a different appearance than neighboring cells. She biopsied that and expects the lab report to say I should have another pap in a year. She also told me that even if I never had an abnormal pap, they left one ovary and notwithstanding it has resorbed, the cells are still there and could turn cancerous.

@naturegirl5

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@pb50 Thank you for sharing this update. I hope that the biopsy doesn't show anything of concern. Your gynecologist certainly is on top of your things and I hope will continue to follow you. Did she say when she expects to hear back from the lab about your biopsy?

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Thank you all for your contributions. I went today for the colposcopy. She found an area that had a different appearance than neighboring cells. She biopsied that and expects the lab report to say I should have another pap in a year. She also told me that even if I never had an abnormal pap, they left one ovary and notwithstanding it has resorbed, the cells are still there and could turn cancerous.

@naturegirl5

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I guess it starts with another exam under magnification and lights and then likely colposcopy to send another sample off to pathology. Then we see. Her nurse said she may just watch it for a while depending on the outcome of the exam. I’m not going to be a fan of waiting. She said sometimes they call it wrong.
Hmmmm.

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