My partner (age 35) has recently had a biopsy following a borderline smear and has received the results this weekend along with an appointment for later this week. We'd really like some help with regard to what the results mean and what treatment options are available and what others here would recommend so we can at least be asking the right questions at the consultation.
The biopsy results are as follows:
Pale a/w. Borderline smear. HPV detected.
CERVICAL BIOPSY/LLETZ PROFORMA MACROSCOPY:
Specimen type: Biopsy
Number of pieces: One
Overall dimensions: 4 x 3 x 3mm deep.(1ng) (ap/ew)
MICROSCOPY: CERVICAL CARCINOMA
Type: Squamous cell carcinoma. Early stromal invasion only arising from a focus of crypt involvement by CIN3
Differentiation/Grade: Not assesable
Distribution of invasive component: Unifocal
Tumour size: Maximum horizontal dimension N/A. Maximum Depth of invasion 0.1mm
Invasive foci in three or more sequential slices of tissue? No
Excision status: Not assessable
Distance to closest resection margin: N/A
Lymphovascular space invasion: Absent
CIN : CIN3
Excision Margins: N/A
Extensive CIN3 with crypt involvement and a single focus of early stromal invasion, in a diagnostic punch biopsy. Advise MDT discussion.
Any decyphering of the above and advice at what is obviously a worrying and stressful time for both of us would be gratefully received.