• How fast does it progress

    Asked by ddiaz85 on Monday, April 15, 2013

    How fast does it progress

    I just found out that I have adenocarcinoma when I never had an irregular pap smear. I would go every year for my annual and nothing came up. I also had a child in 2010 and still went for my regular check ups.

    4 Answers from the Community

    4 answers
    • carm's Avatar

      Hello, I am an oncology nurse that specializes in gyne cancers so I am very familiar with cervical cancer. Of course how it progresses depends on how it is initially staged, the size of the lesion, any nodes affected, regional or distant spread. I would assume that if it was of a higher stage your doctor might suggest a hysterectomy but treatments cannot be assessed until the staging is done. I am here if you have further questions, but I am curious to know how you knew you had never had an irregular pap smear? I ask this because, I hear that from many patients, and yet not one of them have actually been in possession of their pap results or their pap report. So I was wondering if you were told that there were no irregularities, or do you have the actual cytology report? Carm RN.

      over 3 years ago
    • CAS1's Avatar

      Carm, everytime I get a pap I also them receive a letter from my Dr. that says there were no irregularties in the pap test. I like other woemn would take that to mean its clear.

      Cervical cancer usually takes a very long time to develope. It can take up to 10 years or more from the time of the HPV infection to become cancerous. During that time you can indeed have normal paps. The HPV virus is spread from skin to skin contact so its spread very easily and more than 90 percent of adults have been exposed to it.

      On the other hand when treated it can have a 90 to 100 percent cure rate. So its important that you take immediate steps to get what ever full treatment is being suggested. Some strains or personalities of cancer are more agressive than others so there is no time to waste.

      over 3 years ago
    • carm's Avatar

      With respect I disagree on so many levels. If you have a diagnosis of HPV, that in itself is displasia and an abnormal result. Viruses do not take as long as mutations to convert to a malignancy. HPV is transmitted through body fluids, that is why it is classified as an STD. I specialize in gyne cancers and I have never seen a cure rate that high for HPV. You may well have gotten a letter stating the pap was clear, but paps are diagnosed by cytologists not the gynecologist, so if the report states ASCUS (atypical squamous cells of unknown significance) and you ask the gynecologist what that means, because they did not see the cytology, they couldn't answer. That's why pap reports are not given out. Gynecologists don't want to look like they don't have an answer, instead they just wait until the next pap to validate, or suggest a pap in 6 months. The poster had a birth in 2010, if she had HPV for 10 years, it would have been detected at the birth. Carm RN.

      over 3 years ago
    • ddiaz85's Avatar

      The cancer I had wasn't caused by the HPV

      about 3 years ago

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