What does it mean when my Pap smear shows a "high grade lesion"?
The cells seen on the Pap suggest that there is dysplasia present and that it is moderate or severe. This is also referred to as a high grade lesion. This condition has a higher likelihood of progressing to cancer over time if not treated.
Just as with a low grade lesion, the next step is to have a colposcopy performed, regardless of HPV results. This is a follow-up test done in the office using a magnifying glass to look at the cervix directly and take some biopsies based on their appearance.
Why wasn't an HPV test done with my Pap smear if it was abnormal?
When dysplasia is suggested on a Pap smear, the next step, regardless of the HPV test result, is to have the colposcopy done. The HPV test is used more in the borderline result to see if a colposcopy should be performed now or perhaps not needed at all if there is no HPV detected. If your doctor thinks an HPV result would be helpful in the management of your abnormal Pap, then one can be done at the time of the colposcopy.
When should I have my next Pap smear?
This will depend on the results of your colposcopy and whether a treatment is performed. Your doctor will discuss with you when your next Pap smear should be.
www.theHPVtest.com
Julianne M. Dunne, MD, PC 1230 Mamaroneck Avenue Suite 100 White Plains, NY 10605 tel. (914) 948-1020 fax. (914) 948-1002 email: gyndocs1230@yahoo.com
