Treatment FAQ

what is treatment is given after a colposcopy if there is cancer cells

by Maiya Goyette Published 2 years ago Updated 2 years ago

If a colposcopy finds abnormal cells in your cervix, you'll be advised to have treatment to remove the abnormal cells. Removing these cells means they will not be able to turn into cancer. An area about the size of a fingertip is normally removed. If you do not have treatment, sometimes there's a risk that these cells could become cancerous.

Freezing treatment
This is called cryotherapy. The colposcopist uses a cold probe to freeze away the abnormal cells. You shouldn't be able to feel the probe on your cervix, but you might get a period type pain while you are being treated and for a short while afterwards.

Full Answer

What are the treatment options after a colposcopy biopsy?

Depending on what the colposcopy biopsy shows, you might need treatment, such as freezing abnormal cervical cells with cryosurgery. If the results are unclear, you might need to have more tests.

When do you need a colposcopy for vaginal cancer?

Your doctor may recommend colposcopy if a Pap test or pelvic exam revealed abnormalities. Colposcopy can be used to diagnose: Genital warts. Inflammation of the cervix (cervicitis) Precancerous changes in the tissue of the cervix. Precancerous changes in the tissue of the vagina. Precancerous changes of the vulva.

What is the test of cure for Colposcopy?

This test is often called a 'test of cure'. This test can be carried out by your usual clinic or GP surgery. The doctor or nurse who performs your colposcopy will advise what follow-up you will need.

Can cervical abnormalities be treated with colposcopy?

Studies have found that the vast majority of women who have been treated for cervical abnormalities do not develop cervical cancer, even up to eight years after treatment 3), 4), 5). Treatment to remove abnormal cells from your cervix can be done at the same time as a colposcopy if it’s obvious that some of the cells in your cervix are abnormal.

How do they treat cancerous cells in cervix?

For the earliest stages of cervical cancer, either surgery or radiation combined with chemo may be used. For later stages, radiation combined with chemo is usually the main treatment. Chemo (by itself) is often used to treat advanced cervical cancer.

What if my colposcopy showed cancer?

In rare cases, the results of a colposcopy and biopsy will show cervical cancer. If this happens, treatment should be started as soon as possible. You'll be referred to a team of specialists, who will advise you about your treatment.

What is the treatment for precancerous cells?

Treatments for precancerous lesions include excision (surgical removal of the abnormal area, also referred to as a cone biopsy or conization, or loop electrosurgical excision procedure [LEEP]), cryosurgery (freezing), and laser (high-energy light).

What's the next step after a colposcopy?

You'll go back to having regular pelvic exams, Pap tests, and/or HPV tests. Your doctor or nurse will tell you how often you need to have these. Or you might also need further treatment. There are 4 procedures that are very good at removing the abnormal cells and preventing cervical cancer.

Can a doctor see cancer during a colposcopy?

Your doctor can use a colposcopy to diagnose cervical cancer, genital warts, vaginal cancer, and vulvar cancer, as well. Once your doctor gets the results from your colposcopy, they'll know whether or not you need further tests.

How long does it take for abnormal cells to turn into cervical cancer?

Cervical cancer develops very slowly. It can take years or even decades for the abnormal changes in the cervix to become invasive cancer cells. Cervical cancer might develop faster in people with weaker immune systems, but it will still likely take at least 5 years.

How serious are precancerous cells?

Often, precancerous lesions are not invasive and a person will not develop cancer. In some cases these precancerous cells, if left alone, may go on to become “invasive” cancer cells. Sometimes, it may take these cells a few years, or even decades to progress.

What does Stage 3 precancerous cells mean?

CIN 3 is not cancer, but may become cancer and spread to nearby normal tissue if not treated. Treatment for CIN 3 may include cryotherapy, laser therapy, loop electrosurgical procedure (LEEP), or cone biopsy to remove or destroy the abnormal tissue. CIN 3 is sometimes called high-grade or severe dysplasia.

Should I get a hysterectomy if I have precancerous cells?

If the precancerous disease is more extensive or involves adenocarcinoma in situ (AIS), and the woman has completed childbearing, a total hysterectomy may be recommended. 1 During a total hysterectomy, the entire uterus (including the cervix) is removed.

Why do I need a second colposcopy?

If cell changes come back, they are usually found after your follow-up appointment. If your cervical screening (smear test) done during this appointment finds high-risk HPV, you will usually have further tests at colposcopy again.

What causes precancerous cells in cervix?

Infection with the human papillomavirus (HPV) is the main risk factor for precancerous changes in the cervix. Smoking and having a weakened immune system increase the chance that an HPV infection will not go away on its own and will develop into a precancerous condition of the cervix.

What happens if cervical biopsy is abnormal?

A cervical biopsy may be done to find cancer or precancer cells on the cervix. Cells that appear to be abnormal, but are not yet cancerous, are called precancerous. These abnormal cells may be the first sign of cancer that may develop years later.

What percentage of high risk HPV turns to cancer?

Number of HPV-Attributable Cancer Cases per YearCancer siteAverage number of cancers per year in sites where HPV is often found (HPV-associated cancers)Percentage probably caused by any HPV typeaMale16,68072%TOTAL46,14379%Female25,71983%Male20,42474%9 more rows

Is cervical cancer curable?

Cervical cancer is generally viewed as treatable and curable, particularly if it is diagnosed when the cancer is in an early stage. This disease occurs in the cervix, or the passageway that joins the lower section of the uterus to the vagina.

What percentage of CIN 3 turns into cancer?

Natural history of CIN 2,3 – Data on the natural history of untreated high-grade disease (CIN 2,3) are limited since most patients are treated. For CIN 3, the estimated spontaneous regression rate is 32 to 47 percent, with 12 to 40 percent progressing to invasive cancer if untreated [8-13].

Why do I need a second colposcopy?

If cell changes come back, they are usually found after your follow-up appointment. If your cervical screening (smear test) done during this appointment finds high-risk HPV, you will usually have further tests at colposcopy again.

Why do I need a colposcopy?

The usual reason for needing a colposcopy is because you have had an abnormal cervical screening test result. This happens quite commonly, so you should try not to be too alarmed. Remember that in most cases, an abnormal cervical screening test does not mean you have cancer of the neck of the womb (cervical cancer). It is rare for cervical cancer to be diagnosed this way.

What should I expect when I have my colposcopy?

The whole procedure normally takes about 15-20 minutes. It may be longer if you have treatment at the same time (see below). It is best to allow an hour for the whole visit:

What is the difference between colposcopy and cervical screening?

A cervical screening test is offered regularly to all women to prevent cancer of the neck of the womb (cervical cancer). The cervical screening test is looking for early changes (or abnormalities) in the cervical cells, that, if left untreated, might develop into cancer in the future. See the separate leaflet called Cervical Screening (Cervical Smear Test) for more details.

What are the risks or complications of colposcopy?

Colposcopy is generally safe. Some women find that it is a little uncomfortable. Rarely, complications can occur. These can include heavy bleeding and infection. If you experience any heavy bleeding, smelly vaginal discharge or severe lower tummy (abdominal) pain, you should see a doctor as soon as possible.

What is the name of the microscope used to look at the cervix?

The doctor or nurse uses a special microscope, called a colposcope , to look at the cells of the cervix in detail. A liquid is painted on to the cervix to show up any abnormal cells. During colposcopy a small piece of tissue may be taken from the cervix. This is known as a biopsy.

Why can't you see abnormal cells during colposcopy?

Sometimes, all of the abnormal cells cannot be seen during colposcopy because the cells go further up into the neck of the womb (cervix). If this happens, the doctor or nurse will usually suggest that you have a minor operation called a cone biopsy.

How long after cervical screening can you repeat?

About 1 cervical screening test in 8 is abnormal. If the result is not normal then the advice may be to repeat the test within the following 12 months, or a colposcopy may be recommended.

What is colposcopy?

Your healthcare provider uses colposcopy to view the opening to the uterus, called the cervix, and the vagina. It uses an instrument with a magnifying lens and a light, called a colposcope. It magnifies the image many times. The healthcare provider sees the tissues on the cervix and vaginal walls more clearly. In some cases, your provider will take a small sample of tissue for exam in the lab. This is called a cervical biopsy.

What happens during a colposcopy?

You may have a colposcopy in your healthcare provider’s office or during a hospital stay. Procedures may vary based on your condition and your healthcare provider’s practices.

What is it called when you take a sample of tissue for a cervical biopsy?

It magnifies the image many times. The healthcare provider sees the tissues on the cervix and vaginal walls more clearly. In some cases, your provider will take a small sample of tissue for exam in the lab. This is called a cervical biopsy. Cervix.

What is the best way to clean your cervix?

Your provider may clean and soak your cervix with a vinegar solution, also called an acetic acid solution. This solution helps make the abnormal tissues turn white and become more visible. You may feel a mild burning sensation. An iodine solution may be used to coat the cervix, called the Schiller test.

How long after your period can you have a colposcopy?

If you are pregnant or think you could be, tell your healthcare provider. If possible, schedule your colposcopy about a week after your period. There may be other risks based on your condition. Be sure to discuss any concerns with your healthcare provider before the procedure.

What is the test for cervix?

An iodine solution may be used to coat the cervix, called the Schiller test. Your healthcare provider may take a small tissue sample called a biopsy. When this is done, the area is numbed, but you may feel a slight pinch or cramp as the tissue is removed.

What to use for bleeding from biopsy?

Your provider may use a paste-like topical medicine or pressure dressing to treat bleeding from the biopsy site.

How does a colposcopist remove abnormal cells?

They inject some local anaesthetic into your cervix . This might sting for a short time. The local anaesthetic numbs the area. Your colposcopist can then remove the area of tissue with the abnormal cells. This is not painful but you may feel some pressure.

How does a colposcopist help your vagina?

Your legs are supported by 2 leg rests. Your colposcopist gently puts a medical instrument called a speculum into your vagina to hold it open (like when you have a cervical screening test). They look through the colposcope to examine your cervix. They inject some local anaesthetic into your cervix.

What to do if your cervix is abnomal?

If the results are abnomal then you will be referred to a colposcopy clinic for a closer look at your cervix. During this examination, your doctor or specialist nurse (colposcopist) can take samples (biopsies) of any abnormal areas. The colposcopist might offer you treatment at the same time as your colposcopy.

What is the advantage of colposcopists?

The advantage of these treatments is that the piece of cervical tissue that the colposcopist removes can be sent for examination under a microscope. In the laboratory, the pathologist rechecks the level of cell changes in the piece of tissue to make sure your screening result was accurate.

How does a colposcopist remove the transformation zone?

Your colposcopist uses a thin wire loop to remove the transformation zone of the cervix. The wire has an electrical current running through it, which cuts the tissue and seals the wound at the same time.

Do cervical cells go back to normal?

The treatment you need for abnormal cervical cell changes depends on whether you have mild, moderate or severe changes. Many women with mild changes don't need treatment as the cell changes go back to normal on their own.

Can you go back to the doctor after a colposcopy?

The colposcopist might offer you treatment at the same time as your colposcopy. Or you may go back for treatment once they have your biopsy results.

What is a colposcopy?

A colposcopy is a minor procedure in which a special microscope is used to examine the surface of the cervix for abnormalities. Gynecologists use colposcope, which looks like a pair of binoculars with a bright light that allows them a greatly magnified view of the surface of the vagina and cervix. If an area needs further investigation, your ...

What to ask your gynecologist about a colposcopy?

Ask your gynecologist to explain the benefits and risks of a colposcopy. Let them know if you are pregnant.

What is a punch biopsy?

A punch biopsy is when a small sample of the cervix is taken at the time of a colposcopy examination, usually after the application of solutions to the cervix (used to highlight the abnormal area or areas). More than one punch biopsy may be taken. It is purely for diagnostic purposes.

What is the procedure to diagnose cervical cancer?

The colposcopy procedure can help diagnose conditions such as: cervical cancer or precancer. benign growths such as polyps. inflammation of the cervix. genital warts. Try not to worry if you’ve been referred for a colposcopy.

What is the procedure to remove a tiny piece of tissue?

If an area needs further investigation, your gynecologist can remove a tiny piece of tissue and send it to a laboratory for a biopsy. Colposcopy is often done if cervical screening (Pap smear test) finds abnormal cells in your cervix.

How long does it take to get a biopsy result?

If they take a colposcopy biopsy (remove a small sample of tissue to be examined in a laboratory), you may need to wait up to four to eight weeks to receive your result by post. When your biopsy is analyzed in the laboratory, they will be looking for different changes in the cells.

How long does it take for a colposcopy to clear?

It is normal to have a slight vaginal discharge or light bleeding for around 3 to 6 days. After a colposcopy biopsy, you will be asked to avoid sexual intercourse and heavy exercise, and not use tampons, medications, lubricants or creams for a couple of days. You can shower, but don’t have a bath or a swim.

What to take before colposcopy?

Don't use vaginal medications for the two days before your colposcopy. Take an over-the-counter pain reliever, such as ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others), before going to your colposcopy appointment.

How to prepare for a colposcopy?

How you prepare. To prepare for your colposcopy, your doctor may recommend that you: Avoid scheduling your colposcopy during your period. Don't have vaginal intercourse the day or two before your colposcopy. Don't use tampons the day or two before your colposcopy.

What is a colposcopy?

Your doctor may recommend colposcopy if a Pap test or pelvic exam revealed abnormalities. Colposcopy can be used to diagnose: Genital warts. Inflammation of the cervix (cervicitis) Precancerous changes in the tissue of the cervix. Precancerous changes in the tissue of the vagina. Precancerous changes of the vulva.

What will the results of a colposcopy tell you?

The results of your colposcopy will determine whether you'll need any further testing and treatment.

What is the procedure to take a biopsy of a tissue?

To collect the tissue, your doctor uses a sharp biopsy instrument to remove a small piece of tissue . If there are multiple suspicious areas, your doctor may take multiple biopsy samples.

What instrument is used during colposcopy?

During colposcopy, your doctor uses a special instrument called a colposcope. Your doctor may recommend colposcopy if your Pap test result is abnormal. If your doctor finds an unusual area of cells during your colposcopy procedure, a sample of tissue can be collected for laboratory testing (biopsy). You may experience anxiety before your colposcopy ...

What can be applied to the biopsy area to limit bleeding?

Your doctor may apply a chemical solution to the biopsy area to limit bleeding.

What is the purpose of colposcope?

The colposcope magnifies the image so small changes are easier to detect. Vinegar (acetic acid) may be swabbed on the surfaces to be examined. The acid solution makes abnormal tissues appear white, making them easier to identify. A camera may be attached to the instrument to capture photographs of the exam.

What is the best way to detect cervical cancer?

Colposcopy. Colposcopy is a method used to detect cervical cancer. Frequently, colposcopies are ordered after a woman has abnormal Pap smear result. A lighted instrument called a colposcope is used to closely examine the cervix.

Is colposcopy painful?

Colposcopy is not a painful procedure. It is possible that the doctor may want to take biopsies of abnormal areas. The biopsies, however, can be painful and some bleeding may result. 1 2. For more information about cervical cancer visit the Winship Cancer Institute of Emory University. 1.

What happens after a colposcopy?

After a colposcopy with a biopsy, you may experience cramping similar to menstrual pain. You may want to ask your doctor for medicine to relieve the pain. There may also be some light bleeding or vaginal discharge for a few hours.

What tests are needed for vaginal cancer?

These tests may include: chest x-ray to look at your lungs. blood tests to see how your kidneys and liver are functioning.

What tests are used to diagnose cervical cancer?

The primary tests for diagnosing cervical cancer are colposcopy and biopsy. A colposcopy and biopsy are also the main tests for diagnosing vulvar and vaginal cancers.

How long after last Pap test do you have to have HPV?

HPV and the Cervical Screening Test. If you are aged 25-74, you should have your first Cervical Screening Test two years after your last Pap test. If your test shows no HPV infection you do not need to have another screening for five years. If your test results show a type of HPV infection needing further investigation, ...

Can you feel discomfort during a colposcopy?

You may feel some minor discomfort during the colposcopy. A biopsy involves your doctor removing some tissue from the surface of the cervix, vagina or vulva. This may be done during the colposcopy. The tissue sample is sent to a laboratory to be examined under a microscope by a pathologist.

What is colposcopy for cervical cancer?

In some cases, a colposcopy may include an endocervical curettage. This procedure involves taking a sample of the cervical canal and is a more thorough process than a Pap test.

What is a colposcopy?

Summary. A colposcopy is a minimally invasive procedure that helps a doctor examine the cervix to see if any abnormal cells are present. This article describes and explains what a person can expect during and after a colposcopy.

What is the procedure called to examine a person's cervix?

A doctor may use a colposcopy to identify abnormal cells in the cervix. By using a colposcopy, a doctor can examine a person’s cervix more closely. The procedure can help determine if abnormal cells are present. To perform the procedure, a doctor uses a specialized tool called a colposcope.

Why do doctors use colposcopes?

They use the colposcope to get a closer look at the cervix to find out why the cells may be abnormal.

Why cauterize biopsy area?

On occasions, a doctor may use another solution to cauterize the area of a biopsy to decrease bleeding and form a scab.

How long does it take to get a colposcopy?

The entire colposcopy procedure typically takes between 5–10 minutes.

What is the tool used to examine the cervix?

To perform the procedure, a doctor uses a specialized tool called a colposcope. A colposcope provides enough light and magnification to allow a doctor to examine the cervix more easily.

What do I need to do after my colposcopy procedure?

After you have a colposcopy, your vagina may feel a little sore for a couple of days. If you had a biopsy, you may also have spotting or dark-colored vaginal discharge. Use a pad, panty-liner, or tampon — unless your doctor or nurse tells you not to use tampons.

What are the risks of a colposcopy and biopsy?

It isn’t common to have problems after a colposcopy and biopsy. Rare risks include bleeding or an infection that needs treatment.

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