异常巴氏试验？知道什么宫颈不典型增生

So, you’ve been through the discomfort and awkwardness of your Pap test, and you’ve gotten the unexpected call from your doctor: Your Pap test was abnormal. Now what?

最近，我们交谈过的Kathleen Schmeler, M.D., co-leader ofMD安德森’sHPV相关的癌症Moon Shot™，找出你应该知道。这里是她说的话。

这是什么意思，当我的医生说我有一个异常的巴氏试验？

反常Pap测试结果意味着有对你的子宫颈细胞不能正常观看在显微镜下。这个相当普遍的情况被称为宫颈不典型增生，或侵袭前宫颈疾病。

请问我的异常巴氏试验意味着我将有宫颈癌？

An abnormal Pap test doesn’t mean you have cancer or that you’ll have cancer in the future. In most cases, women with an abnormal Pap test don’t end up developing cervical cancer. But some do have pre-cancer, which is very treatable.

What causes an abnormal Pap test?

Abnormal cell changes in the cervix are often caused by thehuman papillomavirus (HPV)。Usually, HPV infections clear up on their own. But some HPV strains can cause high-grade dysplasia and several types of cancer, including宫颈癌。

Sometimes, abnormal cells are caused by a yeast infection or a bacterial infection, both of which are very treatable. Or, if you’ve already been through menopause, these cell changes may be the result of age.

A weakened immune system and HIV can also make you more likely to have an abnormal Pap test.

但是，大多数女性不正常的子宫颈抹片检查结果是完全健康的。

什么是低年级和高宫颈非典型增生有什么区别？

低宫颈非典型增生一般消失在自己的。但如果你有高等级子宫颈发育异常，细胞更变态，需要治疗，因为它们可以变成癌症。

What do I need to do now that I have an abnormal Pap test?

当我们看到谁是有在异常巴氏试验女人MD安德森’s阴道镜诊所, we typically do a pelvic exam with a colposcopy and cervical biopsies. A colposcopy is a procedure where a doctor closely examines your cervix with a special instrument called a colposcope.

如果你被诊断为高度不典型增生，医生可能需要做一个环形电切术（LEEP）。此过程使用由电流加热的线环子宫颈去除异常细胞。

我需要看到什么样的医生？

确保你看到一个妇科医生或妇科cologist who’s done a lot of colposcopies. This is the best way to ensure you receive the correct diagnosis and treatment the first time.

阴道镜检查时会发生什么？

During a colposcopy, we put acetic acid on the cervix so that it’s easier to see the abnormal areas with a colposcope. It can be performed in the clinic and doesn’t require anesthesia. If we see anything abnormal during the colposcopy, we’ll biopsy those areas.

它通常需要大约一个星期来获得活检结果。

What if my biopsy results are abnormal?

If we see significant cell changes, we’ll remove the abnormal tissue. Usually, we’ll do this in the clinic using a LEEP.

但是，如果我们而言，一个病人可能有癌症，我们确实在手术室锥切。这是一个更广泛的活检中异常组织的锥形楔是从子宫颈管更高向上移除。由于该区域是很难得到，这个过程需要全身麻醉。

我将我的阴道镜检查后，需要什么样的后续保养的？

If the cervical dysplasia is low-grade or normal, you’ll need to see your doctor in a year. If it’s high-grade, you’ll have an appointment much sooner — just four weeks after your LEEP — and then have a follow-up appointment in a year, depending on the results.

当然，如果你发现在你的身体你的下一个约会前的任何变化，看到你的医生越快。

你还有什么希望女人知道异常子宫颈抹片检查结果？

Make sure you get follow-up care when you find out your Pap test is abnormal. That way, your doctor can monitor you and come up with a treatment plan to make sure the abnormal cells don’t turn into cancer. And, if these cells do turn into cancer, your doctor can catch the cancer early, when it’s most treatable.

MD安德森’s阴道镜诊所提供诊断和治疗宫颈发育不良。申请网上预约或致电1-877-632-6789。