Posted by: Julia | 2019/03/06


When is the right time to conduct surgery to prevent endocervical cells from progressing?

I have done pap smear , last year I was on stage 1 and my gynaecologist prescribed the 3 injections as a destructive measure which did not assist. Last wee I've done another papa smear, and the results revealed that it has progressed to stage 2. My Doctor is now saying we must wait for stage 3 before they can perform a surgery. is this the right decision?

Expert's Reply


Cancer expert
- 2019/03/07

Dear Julia, the objective of having a Pap smear test is to identify cells that start to change.  Once cervical cells begin to change, it typically takes 10-15 years before invasive cervical cancer develops. As the cells change, they first become "pre-cancerous" – a condition also known as "dysplasia" or CIN – the abbreviation for cervical intraepithelial neoplasia. It is important to remember that most people with CIN do not get cancer. If cancer does form, it takes years to develop, giving doctors time to find and remove problem areas.

LEEP stands for Loop Electrosurgical Excision Procedure. It is a treatment that prevents cervical cancer. A small electrical wire loop is used to remove abnormal cells from the cervix. LEEP surgery may be performed after abnormal cells are found following a Pap test, colposcopy, or biopsy. It is estimated that 5% of CIN 2 and 12% of CIN 3 cases may progress to invasive cancer if untreated. In general, it takes 10 to 20 years for CIN to progress to cancer, allowing a significant time period for detection and treatment. Progression from CIN to cancer requires persistent HPV infection. If not treated, these abnormal cells may become cancer and spread to nearby normal tissue. Treatment for CIN 3 may include cryotherapy, laser therapy, loop electrosurgical procedure (LEEP), or cone biopsy to remove or destroy the abnormal tissue. (MCH).

The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.

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