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Don't understand LLETZ histology report

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Skelly
Don't understand LLETZ histology report

Hi all, hoping someone can help de-code some lab language for me... Just had a letter from hospital 6 weeks post-LLETZ saying they had sent results to GP and that I should come back in 6 months. I inferred from this that the procedure must have been successful, which is great, but it seems strange to have to infer, and not just be told?
My GP's office is impossible to get through to for test results, so I called the clinic and asked them to send me a copy of the results and it says: 'RESULTS/ PROCEDURES: histology report: LLETZ biopsy of cervix - Background of low grade dsykaryosis (CIN I) and extensive residual high grade dyskaryosis (CIN 3), neither lesion involving any margins with no microinfiltration of CGIN'. I don't understand this - the grammar makes it impossible to know if margins are clear? And I thought residual stuff was what you found after LLETZ? If its a 6 month call back, it must be fine, right?

Toca

Only guessing here but I would say that it is saying no margins involved so that means the margins are clear. I would say you should make an appointment with your GP and that way they can proper explain the results to you x

Smear - April '11 Biopsy - June '11 Diagnosed CC stage 1B age 28 LLETZ - July 11 MRI - Aug 11 Surgery - Lymph node removal and Second LLETZ - Sept '11 No spread found, no lymph node involvement Clear smear - Feb 2012

kay_from_oz

No lesions involving any margins would mean the lesions do not extend to the margins (so isn't involved in them) and a clear magin of healthy cells has been been removed all the way around. Good news. No microinfiltration of CGIN would mean there's no abnormality of the glandular cells, which are the ones inside the "neck" of the cervix. More good news. If they hadn't gotten clear margins, or if there was anything to worry about, they would definitely have you back sooner than the 6 month check up.

I had a urine sample come back that I didn't understand one time, and I went straight to the source with my questions. I rang the pathology lab (their number was on the report) and the technician who had actually done the testing called me back and explained to me what was going on. Maybe you could try that if you can't get through to your doctor or the clinic. I really think you have nothing to be concerned about, but for your own peace of mind, you need to talk to an expert and have them explain it properly. *hugz*

"We're born alone, we live alone, we die alone. Only through our love and friendship can we create the illusion for the moment that we're not alone."
Orson Welles

Skelly

Thank you so so much for your responses... Really put my mind at rest... I think you're totally right about there being nothing to worry about, and looks like you've been through much worse. I will try call the clinic on Monday (the GP couldn't understand the last results of the biopsy so I don't have any great faith there...) Somehow the details feel important as I'm in my late 30's and this was the year my partner and I had decided we wanted - and could, because of our circumstances - finally try to have a baby. Feels like the clock is ticking loudly, and details of how much they took out etc are important. Next decision is to see if we wait for the 6 month check up before trying... ah! Thanks for your generosity...

Toca

Skelly obviously do whatever feels best and suits you and your partner. I had stage 1b1 cervical cancer for which I had two rather large LLETZ treatments. After who I was advised to wait until my 6 month check up but I think that was because I had cancer then not to delay in trying. If you feel prepaired and your dr agrees then go for it as you could always find a reason to wait and if the change was to be taken away from you then you would wish you had tried earlier. I am now 16 weeks pregnant in what so far has been an uncomplicated pregnancy. Best of luck x

Smear - April '11 Biopsy - June '11 Diagnosed CC stage 1B age 28 LLETZ - July 11 MRI - Aug 11 Surgery - Lymph node removal and Second LLETZ - Sept '11 No spread found, no lymph node involvement Clear smear - Feb 2012

Skelly

thanks again... sounds like you've been through a really rough time. but big congrats on the pregnancy! that is brilliant news - and the fact that it has gone so smoothly seems like good karma finally! such an odd back and forth in these situations between trusting yourself, and just going with the standardised advice... would be nice to find a middle ground. Good luck with everything and thanks for your help!