im hope I can help shed a little light on this report for you...
the tip of the cervix where it opens up is called the transformation zone. The most common area that cells can change. Think of this area as a clock. Your leasion starts at 4 and ends at 8. So, if this clock was cut into 1/4 then 2 quadrants have abnormal cells. They can tell that part of this leasion has grade 2 major changes and parts have minor changes. The area just around the opening probably has the most changes and those are major. They have been able to detirmine from the pathology reports that the abnormal cells are CIN3 and they cannot exclude CIS. Probably because it was just a punch biopsy. The levels go as follows. CIN1, CIN2,CIN3,CIS,stage 1a1,etc.
A cone procedure is also just like a lletz but it will remove a bigger area then a lletz can more safely. It will remove the tip in an angled way. Just as the description implies:Cone.
I am actually also in Canada and we follow the same guidelines as the uk in time management of cervical Gynae issues and procedure. Yes, you may have a conservative dr who, because you are young is hesitant to be aggressive with this as he is trying to make certain you needs these procedures as he could potentially cause you future problems in fertility or pregnancy.
in 90% of cases a lletz or cone will solve the issues and you will be ok. Unfortunatly, I was not in that 10% and was diagnosed with cc.
as for the time line, waiting a month is pretty standard to have your cone procedure as your gynae will have to book a hospital day surgury room as most do not have the equipment in their offices and they only are allowed a certain number of days per month for procedure such as this.
From my biopsy I waited 8 days for results(may 10 to May 18) then my lletz was June 9 so that was a month. Waited till June 20 for results which showed cancer and then started chemorad a month later. July 18.
there is no rush as your cells will not change drastically from what they are now to have the cone done. And if by bad luck you don't get the all clear after that things will progress a little faster. Although from diagnosis to start of treatment was a month I had so many test done that it would actually be crazy to have started earlier. If it Is cc they have 2 weeks to get you in to see an oncologist by law.
Try to stay calm as this is a process and like all of us you just want it dealt with asap but it doesn't work like that. Even if you had a private dr there would still be paperwork and such that slows things down. 10-15% of the female population has cervical changes to some degree. dr are crazy busy with so many people and your situation doesn't require a work done and completed within a week. I know that this is kind of harsh and upsetting but it is indeed a fact. Stay busy, think nice things. It will all work out in the end and you will forget how much the waiting and worrying sucks.
Sending positive vibes. Good luck