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Can cervical dysplasia come back after a cone biopsy?

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Patient's Query

Hi doctor,

I have done a cone biopsy before a couple of years due to dysplasia caused by HPV. Before a year, I did a Papanicolaou test and it showed that there is an absence of injury. Before a week, I did a Papanicolaou test and the result showed a moderate dysplasia suggestive of class IIIA. The doctor advised me to do a biopsy and I was told that it is unlikely to have dysplasia after doing cone biopsy. How to proceed further?

Answered by Dr. Deepali Raina

Education:

MBBS

Professional Bio:

Dr. Deepali Raina is an Obstetrician and Gynecologist skilled in providing comprehensive care for women’s health. She is experienced in managing gynecological conditions, reproductive health concerns, pregnancy care, and related complications. With a patient-centered approach, she focuses on preventive care, accurate diagnosis, and effective treatment to support women at every stage of life, ensuring their overall well-being and quality healthcare.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

The report needs to be concerned (attachment removed to protect patient identity). There is a need to do another cone biopsy definitely. It is necessary to check the margins of the cone while doing another cone biopsy. If it is still positive, then removal of the cervix called trachelectomy can be taken as an option. As dysplasia has come back after doing a cone biopsy, then it indicates invasive cancer. I suggest you recheck your biopsy report by consulting another pathologist.

Medically reviewed by Dr. Sneha Kannan
Published At June 23, 2020
Reviewed At January 17, 2023

Education:

MBBS

Professional Bio:

Dr. Deepali Raina is an Obstetrician and Gynecologist skilled in providing comprehensive care for women’s health. She is experienced in managing gynecological conditions, reproductive health concerns, pregnancy care, and related complications. With a patient-centered approach, she focuses on preventive care, accurate diagnosis, and effective treatment to support women at every stage of life, ensuring their overall well-being and quality healthcare.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Deepali Raina is an Obstetrician and Gynecologist skilled in providing comprehensive care for women’s health. She is experienced in managing gynecological conditions, reproductive health concerns, pregnancy care, and related complications. With a patient-centered approach, she focuses on preventive care, accurate diagnosis, and effective treatment to support women at every stage of life, ensuring their overall well-being and quality healthcare.

This doctor is not available for online consultations on the platform anymore.

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