• looking for friends who are here. I am considering on looking into a 2nd opinion. Current Dr. doesnt seem worried to do more tests.

    Asked by kokopelli1229 on Sunday, November 4, 2012

    looking for friends who are here. I am considering on looking into a 2nd opinion. Current Dr. doesnt seem worried to do more tests.

    I am at earliest stage where cells are abnormal. I do household chores and seem to tire so easily. Are there any noticeable physical symptoms?

    4 Answers from the Community

    4 answers
    • nancyjac's Avatar

      Stage 0 cervical cancer is in situ, meaning it is non invasive because the only cancerous cells are on the surface of the cervix. What is it you are wanting to get a second opinion for? You diagnosis? Whether it requires treatment? Whether you need further test to do what? There are rarely any noticeable symptoms of early stage cancer, particularly when it is in situ. If you think you are tiring too easily, I would suggest looking at other possibilities for that symptom such as thyroid function, lack of exercise, poor diet, being overweight, etc.

      almost 8 years ago
    • Harry's Avatar

      With some cancers, treatment carries it's own risks. You can be better off doing nothing than agressively going after the cancer. This is the case with my cancer now (I was treated when I had symptoms), it may be so in your case. Sometimes, all that is required is patience (and I'm not a good example of patience :-) ).

      I agree with Nancy. Look into other possibilities for your fatigue.

      almost 8 years ago
    • HeidiJo's Avatar

      I agree that you should look into more possibilities for your fatugue, however, you should always get a second opinion if you fell you need one.

      almost 8 years ago
    • carm's Avatar

      Hello, I am an oncology nurse that specializes in gyne cancers. Over 90% of cervical cancers stem from a virus (HPV). Im sure you probably feel run down with another virus like the flu as well. Stage 0 is precancerous or dysplasia and this requires monitoring, but nothing more than that. For a lot of women, cervical cancer can be confusing because not many women ask for a hard copy of their pap results like they might with blood work or a scan. Part of the reason that a gyne might not offer it is because technically, the gyne is only doing the procedure, it is the lab that makes the diagnosis and forwards that on to the gynecologist. Im sure your gyne has not looked at those cells herself. I deal with quite a few cervical cancer patients and I always tell them to ask for a copy of their pap results below is a document I sent my patients to teach them how to read that report. Knowledge is power, Good luck, Carm.

      ASCUS (Atypical Cells of Undetermined Significance)
      This definition signifies that your cervix contains atypical squamous cells that the pathologist is not 100% sure is due to a benign process.
      Recommendation...3 follow-up options:
      1-Repeat Pap Smear in 4-6 months
      2-Perform an HPV test ("reflective HPV test" automatically with ASCUS diagnosis)
      3-Undergo Colposcopy
      ASCUS-H (Atypical Cells of Undetermined Significance-Cannot Exclude High-Grade Intraepithelial Lesion)
      Further catagorized as "ASCUS favor HSIL" or "ASCUS, cannot rule out HSIL."
      These diagnoses tell the clinician that the pathologist is very concerned that the atypical cells she is seeing may be coming from HSIL. In fact, a large percentage of women with this diagnosis will prove to have an HSIL, somewhere around 40%.
      Recommendation-Colposcopy and biopsy of any worrisome areas. HPV is not recommended in this instance because we know that the vast majority (over 80%) of women with ASCUS, favor HSIL pap results will have a positive HPV test.
      SIL (Squamous Intraepithelial Lesion)
      A diagnosis of either LSIL (L=Low-grade) or HSIL (H=High grade) on a pap smear indicates that the cells present on the pap smear have come from a precancerous lesion, either low-grade or high-grade.
      Recommendation-Colposcopy and biopsy of the cervix. The difference between cervical biopsy and pap smear is that a pap samples cells on the surface of the cervix. A biopsy is a "mini-excision" of a tiny portion of intact tissue that allows the pathologist to see a cross section of the entire depth of the cervical lining. A definitive diagnosis cannot be made until a biopsy has confirmed the pap smear diagnosis.
      LSIS (Low-Grade Squamous Intraepithelial Lesion)
      For LSIL diagnoses, the 2007 ASCCP guidelines for most women recommend cervical colposcopy followed by a biopsy of any visible lesions. There is a sensible rationale behind recommendation. We know that a significant number of women with LSIL on their pap smears will later prove by biopsy to have an HSIL, the most worrisome lesion for persistence and cervical cancer. As an interesting note, it seems that just the act of cutting into the cervix seems to speed up the disappearance of an LSIL. It is thought that the trauma to the cervix may stimulate a womans immune system to rid itself of the lesion at a faster rate!
      Post menopausal women are unique in that they can sometimes have abnormal pap smears that look very much like dysplasia but reflect non-HPV related changes called "Postmenopausal Atypia" for which they don't need treatment. This atypia may disappear on subsequent pap smears.
      HSIL (High-Grade Squamous Intraepithelial Lesion)
      Recommendation-confirmation by colposcopy, tissue biopsy, followed by removal of loop procedure (Loop Electrosurgical Excision Procedure-LEEP). HSIL diagnosed on the cervical biopsy tissue can be divided into two levels of severity: Moderate dysplasia and Severe dysplasia. "Watchful Waiting" recommended for moderate dysplasia in adolescent females, excision with severe dysplasia.
      AGUS (Atypical Glandular Cells of Undetermined Significance)
      "Atypical glandular cells, not otherwise specified" can be either endocervical or endometrial cells.
      Recommendation for endometrial cells-Endometrial biopsy
      Reccomendation for endocervical cells-Endocervical curettage, sometimes biopsy. If from endocervix, then the concern is that you have adenocarcinoma in situ (AIS). Two types of diagnosis-AGUS, or AGUS, favor neoplastic.
      AIS (Adenocarcinoma in Situ)
      This diagnosis signifies a definite endocervical precancerous lesion related to HPV infection.
      Recommendation-Loop Procedure or Cone Biopsy (Cold Knife Cone).
      Squamous Cell Carcinoma and Adenocarcinoma
      Invasive cancers no longer restricted to the cervical surface lining cells but have invaded into the underlying tissue. By invading, these tumors now have the ability to metastasize elsewhere in the body.
      Inflammation of the Cervix.

      almost 8 years ago

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