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heavy chronic endocervicitis with squamous metaplasia

By Anonymous April 14, 2011 - 10:09am
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i had my colposcopy which showed acetowhite areas .HPR shows heavy chronic endocervicitis with squamous metaplasia and adenomatous polyp. what modality of treatment is best suitable ??? how many % chances are there of it going malignant???

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I'm glad you found EmpowHER, and I can help break-down the individual terms, and provide some information so that you can follow-up with your doctor about your specific diagnosis and treatment options.

First, the terms (referred to MedlinePlus Medical Dictionary):
Chronic= occurring over period of time (not a sudden onset)
Endocervicitis= inflammation of the lining of the cervix (Cervicitis is the inflammation of the cervix; the "endo" is the lining)
Squamous= type of cell (in your cervix there are glandular-type cells and skin-like, flat cells. Squamous are the flat, skin-like cells)
Metaplasia= abnormal replacement of cells by another type of cell. Basically the beginning of cell change in its early form.

In other words: the lining of your cervix has been inflamed for a period of time, and the specific type of cell is showing the beginnings of cellular changes.

Adenoma= usually benign (not cancerous) tumor formed in a gland tissue
Polyp= small growth, most often benign, found in mucous membrane (ie, colon).

In other words: a polyp was found in a specific type of gland that is most likely benign. You will need to ask your doctor about the specific "adenomatous" polyp, as some information suggests that this type of polyp has more of a potential of becoming malignant if left untreated within a 10-year period (compared to polyps located in other areas, as most polyps are benign).

- Treatment options to remove abnormal cervical cells can include LEEP or cone biopsy procedures. You can read more about each of these procedures, and the pros/cons at: Which procedure less likely to cause complications?
- Polyps are typically treated by removing the polyp, and testing (by biopsy, if necessary) for any cancerous cells.

You can read more about cervicitis, endocervisitis and cervical polyps: http://www.nlm.nih.gov/medlineplus/cervixdisorders.html.

You will need to talk with your doctor about your specific diagnosis, treatment recommendations (ask your doctor what s/he thinks are the pros/cons of each procedure for your case specifically), and please let us know if you have any follow-up questions.

April 14, 2011 - 12:12pm
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