Only found out today

Hello, first post and still trying to get my head around it all.

Had my first ever abnormal smear and referred for a colposcopy which showed some abnormal cells. He removed them there and then with a LLETZ treatment which all seemed to go well.

Had my results today of the biopsy and it seems the cells were early stage cancerous (CIN 1) but all had been fully removed with clear margins. This seemed to be good news.

However, he said that they were looking at doing a hysterectomy because they had been cancerous (glandular i think he said) even though they were happy that it had all been removed.

Basically due to my age (I'm 47 this year and not looking to have any more children). He siad if I had been in my 30's and maybe want more in the future he would have left it as is and just monitored regularly.

I undrstand him saying they need to do further tests just to make sure it hadnt spread anywhere else (he said he felt this to be very unlikely) but a radical hysterectomy just seems a bit - well - radical ??

I know if I have it done it (as he said) would put a full stop on it and I wouldnt to be worrying or having to go for regular smears and colposcopys, but it is just such a big op and I just wondered if anyone else had been recommended this??

Its not as though I was planning to have any more kids (I have one daughter who is 6) and I do think at least then they can have checked it all out and I wont have the ongoing worry but it is all just a bit scary!!!  Ive only ever had an op for wisdom teeth when I was 17 and this is just a bit scary...

Has anyone else had any experience of this? Any comments welcome to help clear my mind - I am supposed to be going to the hospital on monday to discuss the hysterectomy but thats only a couple of days away so I think I need to delay it a bit until I have got my head around it a bit more. I did panic because it was so quick, but it is just the next clinic and the consultant said just put it back a bit if you want to

Any comments appreciated x

Hi Debbie. I had cin 1 and low grade cgin removed successfully i believe last year. Due for check up next month, would of been by smear but as I have high anxiety the consultant offered. Colposcopy. Did he use the term cgin for the glandular cells. There are 2 stages low and high grade. I asked my consultant if I needed a hysterectomy due to cgin and he said that was a drastic move as low grade. I believe woman that have high grade cgin are offed hysterectomise. But even so I don't think it's the norm?? It's all dry confusing. I hope on Monday they are able to she'd some more light on the situation for you. Kind regards Natalie 

Hi Debbie, 

To be honest, it sounds like you've been given a confusing picture! 

Have you actually been clearly told today that the biopsy showed cancer? Did he use the word cancer or did he say PRE-cancer? The reason I ask is because you use the term CIN1 - this is NOT cancer. CIN1 is mild abnormalities in cells (I really cannot emphasise enough - this is NOT cancer) and you are quite right that in most cases they will just leave this and watch it, usually by changing your smear tests from every three years to every six months. In lots of cases, CIN1 clears up on its own, which is why they are happy to watch and wait because they don't want to overtreat. A radical hysterectomy for CIN1 would not only be an example of massive overtreatment, it would be malpractice!! In cases of recurrent CIN3 (which basically means CIN3 which has already been treated once with a loop/lletz but has shown up again on the smear six months later) sometimes a simple/total hysterectomy is recommended, in order to prevent the possibility of cancer developing. 

The other thing I want to make clear - and why I say you seem to have been told something confusing - is that there is NO CASE of cervical cancer in which they would just leave it and see how it goes, as seems to have been implied here, whatever age you are. There is National Protocol which demands appropriate treatment within 49 days of any cancer diagnosis. In cases of the earliest stage of cervical cancer, which is cervical cancer stage 1a1, the recommendation is a radical hysterectomy with lymph node removal. This is also the recommendation in the vast majority of cases for all other stage 1 cc cases and can also be used in certain cases of 2A. If the stage is any later than that, then chemoradiation is usually the course of treatment. In cases of young women who still wish to have children, there is a relatively new operation (it's been around about 12 years) called a radical trachelectomy, where they remove the centre part of the cervix, so the woman still has some chance of conception. However, by no means is this able to be done as a matter of course - the tumour has to be of a particular type and it has to be very early stage. 

I'm sorry for going into so much detail but to be honest, what you've said doesn't add up - a hysterectomy for CIN1 (which is NOT cancer) is just not what any clinician worth his/her salt would recommend. However, if you've got an early stage cancer, then you absolutely should be having a radical hysterectomy. If the biopsy showed cancer but they think that what they got in the biopsy was all of the cancer that was there, then you should still be having a radical hysterectomy because unfortunately there is no way for them to be absolutely certain that they have got everything until they take out your cervix and uterus and have a look - in these cases the 'all clear' can ONLY be given histologically rather than pathologically. I have heard of cases like these where they will do a simple/total hysterectomy rather than a radical hysterectomy, with the understanding with the patient that further surgery (lymph node removal and removal of the top of the vagina) will be performed if they don't get clear margins on the histology, but this is not in the majority of cases and it has to be very very very early stage (such as a 1a1 that has only just become cancer) and only in the case of squamous cell carninoma. If you have got cancer and it is what you describe as the 'high up' kind, then it sounds like adenocarcinoma, which basically means it originates in glandular cells rather than skin cells. If this is the case then they should be doing a radical hysterectomy, even if it's very early stage. 

I would recommend keeping your appointment on Monday and asking STACKS of questions so you can be very clear about EXACTLY what it is they've found. 

I know I've bombarded you a bit and I'm sorry about that - it's honestly from wanting to help and from wanting you to get the right treatment for whatever it is that they have actually found. If you want to ask me any questions, then please don't hesitate. 

With very best wishes, 

Annabel. x

Hello, thanks for your reply

No I dont recall him mentioning CGIN at all, he did say it had all been removed and that it was why it was a bit of a shock when he mentioned hysterectomy. I had just expected to need regular smears for some time. He did say (i think) that it was down to my age really and he would be inclined to just monitor it if I had been younger/poss wanted more children.

Its all still whirling around my head at the moment. I have rung my key worker and left a message asking her to delay the appointment by a week or so as I just a need a bit more time, I need to be a bit more on top of it all before I can discuss it with them properly.

I think it as all down to the fact that at present its all removed but I might as well have the hysterectomy due to my age and to save all the hassle and worry of smears/it returning/more treatment etc etc - which I can see the point of...

I just wondered if this was common??

If they do a hysterectomy they will remove the lymph nodes and check these to make sure it is all clear. He didnt mention anything about high grade or anything. In fact he gave me the impression that there had been cancerous changes, they were all gone and I was waiting for him to advise what follow up checks I was going to need then he threw the bombshell of a full hysterectomy!

Meant to say as well, if you have got abnormal cells (rather than cancer) and these are of glandular origin, this would be referred to as low-grade CGIN. Changes in squamous cells would be referred to as CIN, 1,2 or 3, depending on the severity of the changes. It's important to remember though that none of these things are cancer. 

Annabel. x

Hello Annabel

Thanks for your reply it was really helpful. I am still pretty confused - he definately said it was very early stage, and that the biopsy showed it was all completely removed. The nurse said CIN 1 after - so maybe I have got myself all a bit muddled.

He did say that the changes were glandular (and that my cervix was unusual and I had a lot of glandular cells, i didnt ask about this as I was still trying get my head round the first bit)

He did say that if I was younger he would have been inclined to monitor it with regular smears etc but that when he spoke to the dept that deals with all the ops etc (hospital name removed) they had said they would recommend a radical hysterectomy but that he didnt necessarily agree that it would have to be a radical.

So i think I prob need to try to calm down a bit and get my head round it all. I have left a message with the nurse to move the appt back a week as I just think to go monday is too quick - i need to think - and a bit short notice with work and everything...

He did say not to worry and to push it back a week or two if I wanted but to try and make sure I went within 6-8 weeks

All so confusing.....

I think what I might do is call the nurse on monday morning and just get her to confirm it all for me again - Im not sure what he said now! and then if they can change the hysterectomy appointment and just give me a week, then hopefully it will all be a bit clearer in my mind ready to talk operations.

 

Thanks so much for your replies xx will post back once i have something a bit clearer

An able, you seem to be a book of knowledge.  Would you mind explaining cgin a bit more to me as I've been quite confused about it. Am I right in thinking that there is low grade and high grade cgin, both of which are per cancer? Know grade being equivalent cin 1.  My consultant was nt going to treat me initially, but due to my anxiety he did so i wasn't thinking about things developing further.

Sorry for spelling mistakes, silly predictive text lol

Hi Debbie,

Ok, I really really am worried about telling you that you haven't got cancer, because obviously I wasn't at the appointment and I don't know you and the last thing I want to do is mess your head up. BUT, if he has said that if you were younger it would be monitored with smears, then it's either not cancer or he's a total idiot! Age doesn't come into it if you've got cancer, by the way. Further, if he's said to you to try and go back within 6-8 weeks, then frankly, he should be struck off if you've got a cancer diagnosis!! As I said, treatment has to start within 49 days of diagnosis. It sounds to me that's what's happened is that this is a doctor not brilliant at clearly explaining things, and that perhaps he hasn't explained the difference between cancer and pre-cancer. It sounds like he's done the same thing on the phone with the Radcliffe because if he's said to them that you've got early stage cancer, then yes, they would recommend a radical hysterectomy, because that's the protocol. They would NEVER recommend a radical hysterectomy for any CIN, whatever the grade, and would only recommend a simple/total (it's the same thing) hysterectomy in cases of high grade CGIN or CIN3, never for CIN1. You only need to have a radical hysterectomy if you've actually got a cancer diagnosis. I think perhaps his way of describing pre-cancer is by saying "It's a form of very early stage cancer." I have heard people describe it thay way before. They shouldn't do because it's inaccurate. It is not a very early stage of cancer. It is what happens to the cells before they try and turn into cancer. They don't always try and do this and most cases of CIN or CGIN do NOT turn into cancer, so it shouldn't be described as early stage cancer - it isn't, it is PRE-cancer. 

It could be worth ringing up on Monday just to clear up exactly what's going on. You could just plainly say to them that you found the appointment confusing and did the biopsy show cancer or pre-cancer. This is very simple for them to answer. If they can't answer it by saying either 'It showed cancer' or 'It showed pre-cancer' then you need to go and see someone else! 

I know it's hard, but try not to worry about it over the weekend - it really does sound like what they've found is CIN. I'm not saying to you that you haven't got cancer - I can't possibly do that - but what I am saying is that you definitely need to find out exactly what you have got! 

Love, Annabel. x

Hi Tillyrose, 

Yes, of course, no problem. 

So, as you know, there are two kinds of changes to cervical cells - CIN and CGIN. This difference is basically in the TYPES of cells in which there are abnormalities. CIN means skin cells (also referred to as squamous). CGIN means glandular cells (also referred to as adeno). The vast majority of cases are CIN, rather than CGIN. CIN is graded 1,2 and 3, depending on the severity (1 being mild abnormalities, 3 being severe abnormalities). You're correct in thinking that low grade CGIN is the equivalent of CIN 1. High grade CGIN is the equivalent of CIN 3. 

As you say, it is often the case that where the abnormality is mild (such as in CIN 1 or in low grade CGIN) they will wait six months before treating you because in many cases of mild abnormalities, the body will solve it without treatment. If it still shows up at the next smear six months later, then they will usually treat it with a loop/lletz. In the vast majority of cases, this solves it - the abnormality never returns and what they've done is basically prevent the possibility of cancer developing in your cervix, which is pretty amazing if you ask me!! 

If you've had low grade CGIN which has been treated, then you've no real reason to think it will come back - it usually doesn't, but I'm assuming you've now been put on smears every six months? 

I hope this helps. If you're not clear on anything or if there's something else you want to know, then please do ask. 

Annabel. 

 

Hi annabel , thank you so much for your reply. It has clarified what I was thinking. Yes I h a,m on 6 monthly smear but my consultant is very good and has said for my first check up he will book me a colposcopy to hopefully put my mind at ease. Thank you for your help and I hope all goes well for you in the future. Xx

Hi Debbie, 

Sorry to hear your news and sending lots of positive wishes.
I wanted to say I was told I had high grade cgin - glandular -through a smear and colposcopy but my results kept coming back inconclusive so had a cold knife cone biopsy which removed 2 suspected adenocarcinoma patches. I thought I would not have to have any further treatment as when I went back for the results of the knife cone biopsy I was told there wasn't any cancer and there were high grade cgin cells. The consultant still wanted to book me in for a hysterectomy with ovaries removed, when I queried why the consultant said it was high grade cgin which skip lesions and they couldn't be sure if it was higher up as it grows in patches. When I asked why my results kept coming back inconclusive. The consultant said the lletz burns the top layer off cells so the cgin had responses to treatment so it may be this. The consultant told me there is a wide spectrum in precancerous cells and I had the nearest thing to cancer you can have before it becomes cancer. When I pointed out to him it wasn't cancer and he had actually removed all the high grade cells cgin now dutlring cone, the consultant still wants me in for hysterectomy with ovaries removed. My own feeling is this is radically as I never had cancer - in the end they were cgin (okay high grade) but I still feel it is overtreatment. My family want me to have the surgery and that's my reason for going ahead. However I told my gp that I am being treated for cancer despite there being no confirmed diagnosis and the gp said they always overtreatment rather than undertreat as uterine types of cancer are silent killers.
I guess what I am trying to say is the doctors have recommended hysterectomies when women have precancerous cells.  I don't think any hysterectomy is simple as there is a psychological effect over the loss of potential feminity, especially when ovaries are removed. 
Like yourself I did question whether itvwas to do with my age as as I am 47.

 

 

Hello everyone and thanks for your replies

Annabel - I will do what you suggest and just ask the straight question on monday - did the biopsy show cancer or pre cancer?

I am going to put off the specialists until a week monday and then get their opinion once i have clarified it all in my own head. I think if i rush up there monday while i am still confused then i am just going to confuse myself even more. I dont want to put myself at risk, obviously, but I also dont want to rush in for surgery either.

Its silly, I thought I had it all clear in my head when I was there yesterday but now lots of things he said just seem to be contradicting each other.

Confused - I think that should have been my user name too!! I will speak to the nurse on monday but I am still sure that the hysterectomy was being pushed due to my age. It was the specialists who said that and my consultant said he would not necessarily jump straight to radical but i think it gets even more confusing when you are getting two sets of opinions.

I am going to have to clarify i think whether it was cancer or pre-cancer as he def kept saying it was very early stage and that it was all out and the biopsy showed clear margins - and then the hysterectomy was def pushed as i wouldnt want more children etc but if I were younger they would monitor it so its def contradicting each other.

I think I am very much like you and will end up having the surgery so I can just be sure there is a full stop on it and no more risk as my family are very worried, as you say it is a silent killer and it would mean a lot of monitoring and check ups to keep an eye on it. And it is big op with lots of effects that need to be thought about

Take care xx and i will hopefully get a bit of clarification monday

Yes, you definitely need clarification on this. If you have low grade CGIN or CIN1 you shouldn't need any kind of hysterectomy - just 6-monthly smears. If it's high grade CGIN or perisistent CIN3 then they do sometimes recommend a simple/total hysterectomy (if you have completed your family) in order to prevent the possibility of cancer. This is not over-treatment, but a considered prevention. They don't recommend a hysterectomy for low grade CGIN or CIN1, so if that's what you've got, it would be over-treatment. Of course, if what you've got is actually early stage cancer, then you need to have a radical hysterectomy. 

The trouble with glandular cells, rather than skin cells, is that they are harder to predict and harder to truly get a picture of pathologically. For this reason, a simple/total hysterectomy is sometimes offered for high-grade CGIN the first time it's detected (provided the woman has completed her family), whereas they are happier to remove CIN3 and then watch it with 6-monthly smears. CIN is much more predictable and slightly less aggressive than CGIN. As I say though, with both types, a hysterectomy isn't necessary for low grade. 

I thought it might be helpful if I clarify the difference between hysterectomies: 

A simple/total hysterectomy is the removal of the uterus and cervix. 

A radical hysterectomy is the removal of the uterus, cervix, top 2cm of the vagina, fallopian tubes, parametrium. If you're younger (as in, not really near the menopause) then they usually give you the option of leaving your ovaries. If you're menopausal or approaching menopause then they will usually take the ovaries as well. Usually in radical hysterectomies, they also remove groinal lymph nodes (called a lymphendectomy) at the same time. If you haven't had a cancer diagnosis, then you shouldn't need to have a radical hysterectomy. 

A sub-total hysterectomy is removal of the uterus only. This operation is hardly ever done these days and obviously in either situation this op is pretty useless as it leaves the cervix in place. 

Bear in mind that any kind of hysterectomy is major pelvic surgery and should not be entered into lightly. If you've got high grade CGIN or CIN3 then it might be a good idea to have a simple/total hysterectomy in order to prevent cancer from developing. But if you've got low grade CGIN or CIN1 then there is absolutely no need to put yourself through major surgery - going for a smear every six months is much much less hassle!!! 

Keep us updated. 

Annabel. x

Hi Confused, 

I just wanted to reassure you that you are not being overtreated by being offered a simple/total hysterectomy for high grade CGIN. As your GP said, glandular cells are much less predictable than skin cells so as your CGIN is high grade, they want to protect your future by removing the site of potential problems. You are not being treated for cancer - if that was the case you'd be having a radical hysterectomy which trust me, is a completely different kettle of fish to a simple/total hysterectomy. I am not saying that one is 'easier' than the other - that's not the case and both are major operatios - but a radical hysterectomy is what it says - radical - and would be what you were having in the case of a cancer diagnosis. 

As you say, there are big psychological implications in having any kind of hysterectomy. It's a difficult and emotive area of the body which lots of women find very hard to lose, but if my smear test had been due a year before it was, it's possible that I could have had high grade CGIN and had a simple/total hysterectomy and would have prevented cancer from developing in my body - trust me, that's a pretty amazing opportunity to have and one which I would give almost anything to have had. 

I completely understand the psychological difficulties in having a hysterectomy, and the fact that you'll be losing your ovaries as well is difficult. These things take time to come to terms with and are not easy. But please rest assured that they are doing it to protect your future, so that you don't have to go through the hell that is cancer. 

Much love, 

Annabel. x

hello

Annabel - I have had a good rethink and sat and written down everything I could think of that he said.

I remembered him saying it was 5mm by 3mm depth (so very early) - I had forgotten that! but that the biopsy showed it was all out with clear margins. So I guess that that means it was actually cancer not CIN1 - i obviously misunderstood that bit

I am going to go to the hyst appointment next week - just give myself this week to calm down, chat with the nurse again and be prepared. But am not going to leave it any longer than that

It was the radical that the hospital suggested, and he agreed that this would mean I could get a full stop on it and as I was older that would prob be the best option (though he wants to look further in to it as to whether he would recommend the radical or the total).

It looks like our cases are very similar

I am not worried about the thought of a hysterectomy itself - that doesnt bother me - Just the worry of a major operation (which nobody wants if they dont need it!) I just need to be clear on the procedure, the recovery and the menopause afterwards. How have you found the recovery period? and have you had much in the way of menopause symptoms??

I do feel a lot clearer today - had a bit of a fuzzy day yesterday but just dont want to rush and not be able to think clearly, and I feel rushing off to talk hysterectomies tommorow whould just have been too much too soon.

Thank you so much for your replies, it does help to talk to someone and I havent really made it common knowledge amongst my friends/family, only a couple know so its hard to have a chat about it all. My poor husband doesnt really know whats going on or all the ins and outs, but then nor do I really I wasnt really at the stage of even thinking about the menopause, let alone hysterectomies!

Debbie xx

Hi Debbie, 

Ok, if he talked about in those terms - as being 5mm wide and 3mm deep, then yes, I agree, it does sound like he was talking about a tumour. I'm so sorry, if that is the case and also I'm so sorry you've had so much confusion over this - no one should ever leave hospital with that sort of lack of clarification on something so important and serious. You're right, that is very early - I'm not even sure that would be classed as stage 1a1, it might even be such early cancer that it is pre-staging - a cancer that has only recently turned to cancer, if you see what I mean. If that's the case, then it's obviously a good thing that they have found it so very early. However, the fact that the biopsy showed clear margins does not mean that everything is sorted and that you don't need a hysterectomy. It sounded like you had an adenocarcinoma, which is what he talked about when discussing pre-cancer as 'glandular origin' (CGIN). If this is the case, then you do need to have a hysterectomy I'm afraid. I've thought of an illustration for it, so here goes: think of CGIN as a flower bed and cancer as a weed. The biopsy has shown that they have successfully removed the weed. Great! However, they cannot be sure that there are not more weeds out of sight until they remove your cervix and uterus and have a very close look. Even if there aren't more weeds, there could be more CGIN and logic would suggest that if that patch of CGIN has turned into cancer, that any other patches would as well, given the opportunity. For this reason it's SO important that they remove the entire flower bed (if you see what I mean) in order to be absolutely sure that they are keeping you safe. And you absolutely deserve to be kept safe!

Some things that might help you in terms of asking questions when you go for your appointment next week:

- First of all, check that it was adenocarcinoma (rather than squamous cell carcinoma) that they found. 

- Secondly, ask them if they intend to do the hysterectomy vaginally, laparoscopically (key hole) or with an open procedure. They SHOULD answer that they will try and do it vaginally but if they can't then it will be with a laparoscopy. I'd be amazed if they said anything other than this at the Radcliffe as it is a research hospital and they have some excellent consultants, but it's worth asking the question. There's no real reason why anyone should have an open procedure these days (except in exceptional idiosyncratic circumstances) but the percentage is still far higher than it should be. 

- Ask the name of your oncologist. Your consultant (who will be a gynaecologist) will be the person with whom you have the most contact and will be the one you will see for follow-up etc.. but you need to know who your oncologist is as well. Ask if he/she will be the one doing your surgery. National Protocol says that an oncologist MUST be present when you have your surgery, so even if the consultant says that he'll do the surgery, make sure the oncologist will be present. 

- Make sure you get a date for your surgery that is within 49 days of diagnosis. By my reckoning, if you were diagnosed on 12th April, this means the last day you should have your surgery is 31st May. In reality, they should give you a date long before that, but that's the date by which they HAVE to do it. This is National Protocol - they can't get out of this - and it's really important in order to protect you that they follow it. 

If it helps to reassure you, the operation itself is a straightforward operation in terms of how difficult it is for the surgeon to do. It also doesn't take long - most people are in and out of theatre in under three hours. If you take into consideration that this includes getting you under and bringing you round, then the operation itself doesn't take long at all. You're right, it is major surgery, but they will look after you and if you've got a cancer diagnosis, then there is no question whatsoever that it's the best thing for you. 

The recovery is not a walk in the park - it takes weeks, you will need help and you won't be able to drive for at least 6 weeks - but at the same time, after this you'll gradually start to feel more yourself again physically and most people recover without any long-term complications or issues. 

You asked about ovaries. They left mine in as I was 38 (I'm 39 now) at the time. They only tend to take the ovaries if you're approaching menopausal age (sorry - couldn't think how else to put that) or if they think there's some sort of hormonal component to the cancer (which is rare). However, my consultant has said that in a few months we'll check my hormone levels because I have had some symptoms of menopause. I got lots of hot flushes in the few weeks after my op, I still get some now and I have a few (although not many) other symptoms as well. It's looking like my ovaries have failed, which does sometimes happen after a radical hysterectomy because the ovaries get some of their blood supply from a major artery which runs through the uterus, so once that has gone, it can be a bit hit or miss whether or not your ovaries cope. Most do, but some don't. Everyone's different with a surgically triggered menopause - I have a friend whose ovaries failed after her radical hysterectomy but her only symptoms were a few hot flushes. She only realised a year later when she had her ovaries removed (for something else) and she got no menopausal symptoms whatsoever, that she'd gone through the menopause already, when she had her original surgery! It's one of those things that unfortunately you just don't know how you're going to be or how severe your symptoms will be until it happens. I must admit, I do sometimes wish that they'd taken my ovaries as well, because then at least I'd know I couldn't get ovarian cancer!! 

Debbie, I really hope that I have helped rather than added to any confusion over the last few days. Please feel free to talk to me on here any time you like and, if you want to PM me about any aspect of what's going on and how you're feeling, then please don't hesitate. 

Thinking of you, 

Annabel. x

Hello


Annabel - thanks so much for your replies, you explain everything very clearly. Yes I think I am resigned to the fact of a hysterectomy, but I would rather go that way than risk it coming back again. So just got to prepare myself for that. Thanks for your list of questions, thats a help as I wouldnt have had a clue!

I am just waiting for the rescheduled appointment for next week and I have had a chat with my nurse this morning. Once I have had the appointment I will probably go back and see her just to go over anything else.

The consultant did say it was going to have to be the op, though the bit about monitoring it if I were younger (and may still want children) doesnt really apply now as I am 47 this year and certainly not wanting any more!!

I will have a good chat with them next week and will hopefully be a lot clearer in my mind by then. I am quite glad I didnt rush up today as although I feel better in my mind I am still feeling a bit woozy and my whole body is just a mass of aching - I think I have spent the weekend to stressed - even my knees hurt!

I have just read this thread & I wanted to thank you Debbie for asking the questions, Tillyrose for enquiring about cgin but to Annabel especially for such clear info. My first colpo/lletz last Sept showed cin3 & cgin3. However, there weren’t clear margins so went back for 2nd lletz in Dec. Yet again no clear margins so just recovering from 3rd lletz but under GA. I’m 38 with no children & the waiting for these latest results is bothering me no end. Whatever the results I will deal with it (though the thought of someone else determining my child rearing ability is scary.) Thankfully I am being looked after so hope that I don’t have the dreaded cancer, that they’ve got it all beforehand. Hugs to all you ladies having to deal with cc.
Debbie…how did you get on? I hope you got all your questions answered & that you have all the right info.