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Need help understanding a pathology report

By June 20, 2012 - 1:49pm
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Six months ago I tested positve for HPV infection but PAP smear indicated no abnormal cells. I am 3 weeks post hysterectomy. I had my uterus and cervix removed. The hysterectomy was because of an enlarged uterus (24 x 20 x 12 cm) but the pathology report stated more problems than I was aware. My GYN did not explain the report. What does this final diagnosis of uterus and cervix hysterectomy means? How does the HPV come into play?
Acute and chronic cervicitis with squamous metaplasia

Secertory endometrium with ciliated cell change
Benign leiomyomata with areas of infraction

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According to the CDC,in 90% of HPV cases, the body's immune system clears the virus naturally within two years. But, sometimes, HPV infections are not cleared and can cause genital warts, rarely, warts in the throat, and cervical cancer.

There are more than 40 types of HPV. Do you know what type you are infected with? Have you had genital warts?

Again, talk with your gynecologist. You need to be honest with your sexual partner and take precautions, such as having your partner wear a condom.


June 20, 2012 - 5:04pm
(reply to Maryann Gromisch RN)

Honestly, I was taken aback when I was told that I tested positive for HPV. The gyn made it seem like no big deal and most people test positive for it. I had some type of bacterial infection and I thought that was why i had been experiencing so many yeast infectons. I did experience genital warts but it went away. I am not sure what type of HPV. The gyn just said low-risk. I am scheduled for post hysterectomy in 3 weeks so I want to go in prepared to discuss the HPV issue. I was so busy dealing with the fibriods that I could not handle anymore. It is all so overwhelming.

June 20, 2012 - 5:47pm

Hello ChocoKiss,

Your gynecologist should have explained the results of the post-hysterectomy pathology report to you.

Cervicitis is inflammation of the cervix. Your report shows evidence of active (acute) inflammation and long-standing (chronic) inflammation. Cervicitis is most often caused by an infections, usually a sexually transmitted infection. HPV is one sexually transmitted infection that causes cervicitis.

The endometrium is the inner layer of the uterus. It undergoes cyclic regeneration. The secretory phase usually occurs during the second half of the menstrual cycle. Ciliated cells are cells covered in tiny hair-like projections.

Leiomyoma is a benign or non-cancerous tumor derived from smooth muscle, most often of the uterus.

I am able to give you general definitions of these terms and very basic information. You need to schedule an appointment with your gynecologist to discuss the specifics of this report.


June 20, 2012 - 4:31pm
(reply to Maryann Gromisch RN)

Thanks for the feedback. I now need to understand how to address HPV. Does the HPV stay with me? Does this mean no more sex?

June 20, 2012 - 4:56pm
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