Table of Contents
- 1 What are the chances of getting cervical cancer after a LEEP?
- 2 Can precancerous cells come back after LEEP?
- 3 What does positive margins after LEEP mean?
- 4 What if my colposcopy results are bad?
- 5 Why do I need a second LEEP procedure?
- 6 What does it mean if your Pap is normal but HPV is positive?
- 7 Can Pap-smear detect HSIL?
- 8 What happens if abnormal cells are found in a Pap smear?
What are the chances of getting cervical cancer after a LEEP?
Results. At 6 months after LEEP the overall HPV infection persistence rate was 40.9 \%, at 12 months 20 \% and at 18 months 11.8 \%. Type 16 showed the highest persistence rate: 27.3 \% at 6 months, 12.7 \% at 12 months and 10 \% at 18 months after LEEP.
Can precancerous cells come back after LEEP?
LEEP works very well to treat abnormal cell changes on the cervix. If all of the abnormal tissue is removed, you won’t need more surgery. In some studies, doctors were able to remove all the abnormal cells in almost every case. But abnormal cells may come back in the future.
Does HPV clear after LEEP?
Results: LEEP can effectively eliminate HPV infection. Most patients cleared HPV infection within six months. The persistent HPV infection rates were 44.6\%,10.6\%, 5.7\%, and 2.1\% after three, six, nine, and 12 months, respectively.
Can cervical cancer develop between smears?
No. There is no evidence that daughters and other female relatives of women with abnormal smears, pre-cancerous cells (CIN) or cervical cancer have an increased risk of abnormal smears, pre-cancerous cells or cervical cancer.
What does positive margins after LEEP mean?
A positive margin after LEEP (defined as a histopathological finding of CIN along the specimen margin regardless of the CIN grade) is a well-defined predictor of persistent/recurrent disease [4, 11, 12, 14].
What if my colposcopy results are bad?
You may need treatment if the results of your colposcopy show that there are abnormal cells in your cervix. The abnormal cells will be removed, which usually involves removing an area of the cervix about the size of a finger tip.
When do you repeat Pap smear after LEEP?
Most patients will need a Pap smear at minimum every 3 months the first year after LEEP, then every 6 months during the second year after LEEP. Additional testing may be needed depending on your LEEP results and your Pap smear results afterward.
Can cervical dysplasia return after LEEP?
Background. In 5–20 \% of patients with cervical high-grade squamous intraepithelial lesion (HSIL), a positive margin after the loop electrosurgical excision procedure (LEEP) is associated with persistence/recurrence, but the prognostic value of other clinico-pathological factors is less clear.
Why do I need a second LEEP procedure?
In some cases, abnormal cells are found again. If this happens, you may require another LEEP. Following a normal Pap and negative HPV test, patients are required to come back a year later for another screening.
What does it mean if your Pap is normal but HPV is positive?
A positive test result means that you have a type of high-risk HPV that’s linked to cervical cancer. It doesn’t mean that you have cervical cancer now, but it’s a warning sign that cervical cancer could develop in the future.
Why follow-up with HPV and Pap-smear tests after LEEP is important?
Follow-up with HPV and PAP-smear tests after LEEP treatment is of great importance in the detection of residual … LEEP is a basic procedure in the conization performed on patients with CIN II/III. In spite of high recurrence and residual disease rates, this kind of patients requires close monitoring.
How long after a LEEP procedure do I need a Pap smear?
In general, women who have had LEEP procedures need to have a follow-up Pap in 1 year. There are situations when a 6 month follow-up and a 1 year follow-up Pap smear are required. What Should I Do After a LEEP Procedure?
Can Pap-smear detect HSIL?
HSIL was detected in four patients using PAP-smear on the third month examination. Positive LEEP surgical margins were found to be positively correlated both with HPV-DNA positivity detected during the follow-up examination and with the presence of residual disease in the follow-up PAP smear.
What happens if abnormal cells are found in a Pap smear?
Whenever abnormal cells are found during a Pap test , you may be anxious—after all, a Pap smear is one of the most effective methods of detecting cervical cancer at its earliest, and most treatable stage. If you have abnormal cells, there are a number of responses.