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Adenocarcinoma vs Squamous Cell vs Adenosquamous

By Anonymous September 11, 2015 - 12:53am
 
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I am waiting a few weeks to meet a oncologist but am having a lot of anxiety about my pathology results in the meantime. They are as follows:

FINAL PATHOLOGIC DIAGNOSIS:
Cervical cone: Endocervical adenocarcinoma in situ-severe
squamous dysplasia (CIN 3) with focal microinvasive
carcinoma, see comment, lines of excision free of
neoplasm-dysplasia.

COMMENTS:
The focal area of microinvasion involves endocervical
neoplasm but a squamous compnent can't be excluded.

Does that mean I have adenocarcinoma, squamous cell, adenosquamous? Is the prognosis different for these cell types?

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Guide

Hello Anonymous,

Welcome to the EmpowHER community. I can truly appreciate how you must be feeling right now. I have been there.

I am assuming you had a Pap exam that involved a biopsy of cervical tissue. Have you had a follow-up appointment with your gynecologist? You should have and your physician should have explained the pathology report to you.

The oncologist should review the findings with you, suggest treatment options, state all possible side effects of the proposed treatments and offer a prognosis.

I am not qualified to answer your questions, but can give you general information.

Endocervical means within the cervix of the uterus.

Adenocarcinoma in situ means a localized growth of abnormal glandular tissue that may become malignant. However, the abnormal cells do not extend beyond the basement membrane. It is most common in the endometrium and in the large intestine.

When precancerous changes are seen in tissue biopsies of the cervix, the term cervical intraepithelial neoplasia (CIN) is used.

CIN is classified according to the extent to which the abnormal, or dysplastic, cells are seen in the cervical lining tissue.

CIN 3 is also a high grade lesion. It refers to precancerous changes in the cells encompassing greater than two-thirds of the cervical lining thickness, including full-thickness lesions that were formerly referred to as severe dysplasia and carcinoma in situ.

Your physicians are your best sources of information. I will keep you in my thoughts and prayers. Keep a positive attitude and stay focused and strong.

Best regards,
Maryann

September 11, 2015 - 8:37am
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