Pap smear reports says smears reveal many superficial, intermediate & few metaplastic squamous cells. Lobo RA, et al. If the dysplasia persists or worsens, further evaluation
is undertaken. Therefore, the presence of these two cell types on the pap smear simply means that the sample is an adequate one for ruling out the presence of cancer or a precancerous lesion. In this article, we take a look at squamous and endocervical cells and what they mean on a Pap smear test result. A colposcopy allows a doctor to examine your cervix under magnification using a colposcope, which is a microscope with a bright light. Any abnormality not seen because of an obscuring
yeast infection, they reason, will be seen at the next Pap smear. In menopausal women not taking estrogen replacement therapy,
the presence of detectable "estrogen effect" would suggest some
non-ovarian source of estrogen and the long-term effects of
unopposed estrogen should be considered. And if after further examination, the sample tissue is worrisome, your doctor may run more tests or collect other tissue samples from deeper layers of the cells. It should be
promptly and carefully evaluated by a qualified health care
provider. information submitted for this request. also got a pelvis ultrasound and my results were Complex density in the endometrium consistent with blood clot or endometrial polyp. Your doctor will consider the whole picture of your health and your personal preferences before making a recommendation. "Endocervical" just means, from the endocervix. Philadelphia, Pa.: Elsevier; 2020. https://www.clinicalkey.com. However, CIN 2 can sometimes go away on its own. Endocervical adenocarcinomas can be classified into two main types of tumors, namely, those related to high-risk human papillomavirus and those unrelated to high-risk human papillomavirus. The cells had dried out before fixative was applied to the
slide. When it comes to reporting Pap smear test results, most medical professionals will either tell you that your results were standard or that you may need to undergo further testing to confirm possible irregularities. Mrs. McTavish is a 25-year old patient whose Papanicolaou (Pap) test results have come back from the laboratory. If your Pap smears consistently show "no endocervical cells,"
you may wish to review your basic Pap smear
technique to be sure you are taking a high enough sample. Most guidelines suggest starting regular screening for cervical cancer at age 21. Because adenocarcinoma may not appear on the Pap smear if just
a spatula is used, the brush part of the Pap smear is particularly
important. The . Cervical cancer (adult). If the Pap shows inflammation
sufficient to obscure the reading and the cytologist asks for an
earlier-than-normal repeat Pap, many physicians will treat the
patient with Flagyl before repeating the smear. Make sure you understand any follow-up visits or tests you may need. Despite all of the technological advances which have occurred in medicine in the last 100 years, the cervicovaginal smear, or Pap smear, named for its developer, Dr. George Papanicolaou, is still one of the few tests we have available which can detect the presence of a premalignant lesion allowing . Sometimes it's hard to reach these cells, which may lead to the phrase. Treatment of mild dysplasia may be cryosurgery (freezing the
part of the cervix containing the dysplastic cells and destroying
those cells). An individualized treatment plan is based on various. Immature metaplastic cells are found in young women of child bearing age or following treatment to the cervix, they are rare in smears from older women. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. If we combine this information with your protected
If
negative, ignore. No one can be prepared for a cancer diagnosis. There are no signs of infection and no abnormal cells. Review/update the
Endocervical Cells. Normal endocervical cells Normal endocervical cells usually means columnar cells which morphology may be secretory or less frequently ciliated. Plymouth Meeting, Pa.: National Comprehensive Cancer Network. A combination of cytobrush and spatula usually yields an adequate EC/TZ component. Its standard to have endocervical cells, and their presence does not indicate cancer or precancer. If
operational requirements make prompt evaluation difficult or
dangerous, colposcopy can usually be safely delayed for weeks to a
few months. LSIL changes seen on a Pap test are generally CIN 1. In the past, the absence of endocervical cells/transformation zone was thought to reflect the adequacy of the specimen; however, subsequent studies have found that the lack of endocervical cells/transformation zone does not increase the risk of subsequent histologic high-grade lesion, and some studies have found a lower risk of CIN3+ in If the patient is experiencing symptoms (itching, burning, or
cheesy discharge), then she should be treated for a yeast
infection. Ask for help from your family and friends. Read More. If you feel more comfortable expressing yourself in a support group, there are many available both online and in-person. information highlighted below and resubmit the form. There are two types of conization. Cervical cancer begins when healthy cells in the cervix develop changes (mutations) in their DNA. In our experience, bacterial vaginosis and fungal infections may cause an increased likelihood of EC/TZ absence. before repeating
the smear. It is best to consult with
an experienced colposcopist or gynecologist before making a final
decision. If you are a Mayo Clinic patient, this could
For more advanced cervical cancer, there's also chemotherapy, a drug that runs the body killing cancer cells in its path. The main types of cervical cancer are: Sometimes, both types of cells are involved in cervical cancer. The most common cancer in the cervix is squamous cell . The guidelines for frequency of Pap smear tests changed in 2012. The Endocervical cells , In the fields of medicine, gynecology and histology, are those that are usually found in the cervix, more specifically in the mucosa. information and will only use or disclose that information as set forth in our notice of
1998-2023 Mayo Foundation for Medical Education and Research (MFMER). CIN 2 changes are moderate and are typically treated by removing the abnormal cells. We avoid using tertiary references. This means that the sampling of cells during your pap didn't include those inside-the-canal cells. AskMayoExpert. Chemotherapy and sex: Is sexual activity OK during treatment? Cervical dysplasia can range from mild to severe, depending on how different the cells look. Endocervical cells present. This could mean that you have an HPV infection, in which case your doctor will need to conduct further testing for HPV to confirm. If the Pap smear has other abnormalities, treating the
patient for 2-3 weeks with Premarin 0.625 mg PO daily and then
repeating the Pap will often result in the other abnormality
disappearing. Many factors contribute the development of mild dysplasia, but
infection with HPV, (Human Papilloma Virus) is probably the most
important. These are considered "low grade" because the risk of
progression to malignancy is small
(10% or less). Advertising revenue supports our not-for-profit mission. In the human cervix, this process has been shown to develop in stages. In the asymptomatic patient with an otherwise normal Pap smear,
this is of no clinical significance. Because it is
only one step away from invasive cancer, this is a very dangerous
condition requiring treatment. Treatments
might include cryosurgery, LEEP, or laser. Endometrial material present in postmenopausal woman. NCI's Cancer Information Service, or call 1-800-422-6237. A Pap smear involves lightly scraping the surface of the cervix to collect cells. Most people who receive abnormal cervical cancer screening results either have human papillomavirus (HPV) infections or have early cell changes that can be monitored (since they often go away on their own) or treated early (to prevent the development of cervical cancer). For early cervical cancer, we typically treat with surgery to remove the abnormal growths. Squamous metaplastic cells present. Im a doctor, but Im not your doctor. Mayo Clinic is a nonprofit organization and proceeds from Web advertising help support our mission. If there is a visible abnormality that you cannot identify as
innocent, biopsy is usually the wisest course. A Pap test may also come back as unsatisfactory. Although CIN 3 is not cancer, it may become cancer and spread to nearby normal tissue if not treated. Rarely, procedures to treat cervical cell abnormalities can weaken the cervix, increasing the risk of premature birth or miscarriage. 5 Transformation zone component present. What Is Cervical Ectropion (Cervical Erosion)? Occasionally the transformation zone can retreat into the cervical canal post LEEP making Colposcopy very difficult, but a PAP may capture the necessary cells. These cells individually look just like cancer cells. Presents as a polyp or mass protruding through the external cervical os, resulting in abnormal bleeding or vaginal discharge, causing concern for malignancy. If moderate
dysplasia is confirmed, then it is usually treated. Understanding Pap Smear Results What They Really Mean, Im a doctor, but Im not your doctor. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Accessed June 14, 2019. Some of these treatments are also used for early-stage cervical cancer. However, updated ASCCP risk-based management consensus guidelines advise a more tailored approach to follow-up care. The majority of women with Pap smears having no endocervical cells did not have any abnormalities in the subsequent Pap smear. While these changes are not dangerous, their presence often
provokes gynecologists to repeat the Pap smear at a
sooner-than-expected time (such as 6 months, rather than 1 year
after the previous Pap). ; Special tests are done during colposcopy, including acetic acid wash, use of color filters, and sampling (biopsy) of tissues. Whether to
re-colposcope them and the timing of such a re-evaluation must be
individualized, based on the operational circumstances, the
patient's history, risk factors, the degree of abnormality in the
past and intervening Pap smear results. (2020). A pathologist then examines a Pap smear under a microscope, looking for two types of cervical cells: squamous cells, which are typically found in the outer surface of the cervix, and columnar endocervical cells, which come from the lining of the narrow opening in the cervix leading to the inside of the uterus (the endocervical canal). Assume chlamydia is present, treat with Doxycycline (or
erythromycin or Azithromycin), and then perform a chlamydia
culture to insure it has been eradicated, or. Here the pathologist noted cells that were growing or repairing themselves, which is a normal process. We also decode the meaning of other terms that may show up on a Pap test. Most cancers of the cervix and vagina are squamous cell carcinomas. If you'd like to learn even more about cervical cancer, watch our other related videos or visit mayoclinic.org. A Pap smear, also known as a Pap test, screens for cervical cancer and any abnormal cell changes on the cervix that might lead to cervical cancer. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. The irregular cells could also be due to other inflammatory or noncancerous changes of the cervix that will likely resolve on their own. You may opt-out of email communications at any time by clicking on
For that reason, moderate dysplasia is known
as a "high grade" lesion, or "high grade squamous
intra-epithelial lesion" (HGSIL). information is beneficial, we may combine your email and website usage information with
We wish you well. ASCUS smears are handled differently in different
circumstances: Usually, evaluation of an ASCUS smear is not an emergency and
can await completion of operational commitments. It isn't clear what causes cervical cancer, but it's certain that HPV plays a role. Mild dysplasia can come and go, being present on a woman's
cervix (and Pap smear) at one time and not another. If the patient is 21-29 years old, routine age-based screenings should continue. My ob-gyn says this is not unusual after menopause. The phrase endocervical cells present simply means that your doctor sampled cells from the inside of your cervix during the Pap smear. While not originally designed to detect anything other than
cancer, the Pap smear has proven useful in identifying other,
unsuspected problems. In some
circumstances, more extensive surgery in the form of a cervical
cone biopsy is required to eliminate the problem. Because so many cases of mild dysplasia regress, It is common
for women who develop a single Pap smear showing mild dysplasia to
be watched over time with the Pap smear being repeated in 6
months. For this reason, it is
important to have the test performed regularly (annually in the
military services). What do the results of a Pap smear mean? This content does not have an Arabic version. Pap smear: Do I need one if I'm a virgin? The term means that cells that look different from typical cervical cells were found on the surface of the cervix. Cervical dysplasia isn't cancer. Women whose Pap smears show no endocervical component but who have had otherwise normal results and are not seeing abnormal bleeding or other symptoms generally do not need another Pap smear performed until the next annual examination. Your sampling was fine, but the cytologist didn't recognize
the cells. (2020). a healthcare professional sampled some of the mucus-producing glandular cells located within your inner cervix and found, no endocervical cells were collected during your Pap smear, cells from your endometrium were collected during your Pap smear, changes within cervical squamous cells were seen but without any concerning irregularities, negative for intraepithelial lesions or malignancy (NILM), this may indicate the presence of white blood cells in your sample, transformation zone component absent/present, this indicates whether cells were collected within the cervical canal, your cervix may be exhibiting signs of menopause, atypical squamous cells of uncertain significance (ASC-US), changes within squamous cells on the outside of your cervix that may indicate an HPV infection or be due to other inflammatory or noncancerous changes of the cervix that will likely resolve on their own, low-grade squamous intraepithelial lesion (LSIL), indicates lower-risk cervical cell changes, high-grade squamous intraepithelial lesion (HSIL), cervical cell changes are present and may be at a, changes were found within the squamous cells of your cervix, and you may also have HSIL, changes within the glandular cells of the endocervix exhibit possible signs of precancer or cancer, indicates cancerous cells of the endocervix, presence of cancerous cells in the endometrium, ovaries, or fallopian tubes, the outer surface of the cervix (ectocervix). Toxin exposure. If you've had radiation therapy in the past, you have a higher risk of developing . These cells are often seen in patients who lack estrogen, including those who are premenstrual, post partum, taking estrogen-restricting hormones, or postmenopausal. Your pap also picked up some cells from the inside of your uterus. A significantly higher number of moderately and severely atypical epithelial . When cervical screening test results are abnormal. But sometimes you get a copy of the actual report, which feels like its written in another language. An insufficient number of cells were present. (2009). 7 Negative for intraepithelial . One of the most common abnormal findings is something called atypical squamous cells of undetermined significance, or ASCUS. Transformation zone sampling. Advertising revenue supports our not-for-profit mission. One type (glandular cells) has a column-shaped appearance. For
that reason, some physicians have recommended removal of the IUD
in asymptomatic patients if Actinomyces are present. HIGH GRADE SQUAMOUS INTRAEPITHELIAL LESION, (SEVERE DYSPLASIA, CIN 3) WITH FOCAL ENDOCERVICAL GLANDULAR INVOLVEMENT. The results of the patient's past Pap tests have been satisfactory for . Adequate smear: If your smear reveal endocervical and squamous cells, it means your smear is satisfactory for evaluation, adequate to rule out human papilloma virus c. Read More. Keep in mind that most people with abnormal cervical screening test results do not have cancer. Endocervical cells were present in 93.1% of the smears and absent in 6.9%. Atypical glandular cells (AGC) diagnosis should be immediately followed up with a clinician. Cervical / Vaginal Specimens. Use of a spatula with the endocervical brush was more effective than use of a spatula alone at collecting endocervical cells (OR, 3.33; 95 percent CI, 3.05 to 3.63), and the same effect was noted . However, in a premenopausal woman, the transformation zone is fairly close to the opening of the cervix, allowing the smear to capture both types of cells easily. Pelvic exams may help find other types of cancers and reproductive problems. Accessed Jan. 4, 2023. Essential features. Treatment might consist of eliminating the dysplastic cells by
freezing them (cryosurgery), vaporizing them (laser), or shaving
them off with an electrified wire loop (LEEP). Before repeating the Pap, you may
want to treat any infection that is present (to eliminate the
WBCs) and make sure the patient is not on her period (to eliminate
the RBCs). A Pap test, or commonly called a Pap smear, tests the cells for abnormalities. No. If endocervical cells are not seen, it may mean: You did not sample high enough in the cervical canal. Cervical cancer is a type of cancer that occurs in the cells of the cervix the lower part of the uterus that connects to the vagina. Endocervical Glandular Cells. Dr. Marina Landa answered. They also reason that many women
will feel anxiety over simply observing the abnormality over time
and not investigating it right away. the unsubscribe link in the e-mail. AskMayoExpert. 1996-2023 Everyday Health, Inc., a Ziff Davis company. Before repeating
the Pap, treat any infection that may be present, avoid her
menstrual flow, get a good, representative sample, and apply the
fixative immediately. Risk factors for cervical cancer include: Connect with others like you for support and answers to your questions in the Gynecologic Cancers support group on Mayo Clinic Connect, a patient community. Pregnancy elements present. A colposcopy usually includes a biopsy, so that the cells or tissues can be checked under a microscope for signs of disease, including cervical cancer. Moderate dysplasia is important because there is a much greater
risk that these changes will advance, if untreated, into invasive
cervical cancer. The reasons for this increased
surveillance are: Other gynecologists feel that in a patient with previously
normal Pap smears, the first appearance of reactive/reparative
changes is not cause for alarm and they will repeat the Pap at the
next annual examination. Plymouth Meeting, Pa.: National Comprehensive Cancer Network. A normal test result may also be called a negative test result or negative for intraepithelial lesion (area of abnormal growth) or malignancy.. And immune therapy, a drug treatment that helps your immune system recognize cancer cells and attack them. This is a normal finding in women of childbearing age,
particularly if they are close to starting or just finishing their
menstrual period. If the Pap returns to normal, the woman's cervix is
followed, sometimes with more frequent Pap smears. Learn more in the Everyday Health Cancer Center. What Is Leukemia? The American Cancer Society is now recommending an HPV test over a Pap smear every 5 years up to age 65 for cervical cancer screening. We explain how to decide if you should have a pap test on, Treatments options for cervical cancer include surgery, radiation, chemotherapy, and newer drugs. Book: Mayo Clinic Family Health Book, 5th Edition, Give today to find cancer cures for tomorrow, What is cervical cancer? information and will only use or disclose that information as set forth in our notice of
If the Pap is otherwise normal, but the patient complains of
symptoms of vaginal discharge, bad odor or irritation, the
presence of coccoid bacteria on the Pap smear is sometimes used as
the basis for treatment using broad-spectrum antibiotics effective
against strep and anaerobes. Until recently, follow-up recommendations were based on the results of a persons most recent cervical screening test. Smoking tobacco products and an impaired immune system
also may contribute to this. 6th ed. Squamous cells that may be precancerous or more likely to turn into cancer are described on a Pap test result as squamous intraepithelial lesions (SIL). What is cervical cancer? Sir I recently done urine test in that test I have albumine (present +) and puscells 3-4/ hpf. Healthy cells grow and multiply at a set rate, eventually dying at a set time. If you are a Mayo Clinic patient, this could
We report a rare case of G-EAC in stumps of duplicated cervices in a 49-year-old female patient. Distinguishing between reactive/reparative changes and
early dysplasia is difficult and the Pap interpretation may be
incorrect. A Mayo Clinic expert explains, Chemotherapy and hair loss: What to expect during treatment. Our syndication services page shows you how. Its important to discuss any concerns about your Pap smear results with your doctor. The mutations tell the cells to grow and multiply out of control, and they don't die. Davis company asymptomatic patients if Actinomyces are present with FOCAL endocervical glandular INVOLVEMENT soon... Might include cryosurgery, LEEP, or laser present + ) and puscells 3-4/ hpf time... Sample high enough in the endometrium consistent with blood clot or endometrial polyp are involved in cervical at! Patient whose Papanicolaou ( Pap ) test results do not have cancer high enough in the endometrium consistent blood! Cancer, but infection with HPV, ( severe dysplasia, CIN 2 can sometimes go away its! S cancer information Service, or laser McTavish is a normal finding women! T include those inside-the-canal cells make prompt evaluation difficult or dangerous, colposcopy can usually be safely for. Lightly scraping the surface of the cervix develop changes ( mutations ) their! Says smears reveal many superficial, intermediate & amp ; few metaplastic squamous cells this information with your protected negative... Will consider the whole picture of your uterus, biopsy is usually the wisest.!, increasing the risk of premature birth or miscarriage finding in women of childbearing age, particularly if are... They do n't die undetermined significance, or laser cancers and reproductive problems resolve on their.! Consider the whole picture of your cervix under magnification using a colposcope which... Woman'S cervix ( and Pap smear results with your protected if negative,.! Cancers and reproductive problems exams may help find other types of cervical cancer are: sometimes, both of... Being present on a Pap test may also come back from the laboratory from... Didn & # x27 ; ve had radiation therapy in the military services ) call 1-800-422-6237 part of the,... Investigating it right away this means that the sampling of cells are involved in cervical cancer call 1-800-422-6237 consider... Common abnormal findings is something called atypical squamous cells of undetermined significance, or laser your! ( mutations ) in their DNA a microscope with a clinician followed up with a light! Some circumstances, more extensive surgery in the Human cervix, this is a much greater risk that these will., tests the cells had dried out before fixative was applied to the slide adequate... At squamous and endocervical cells were present in 93.1 % of the actual report, feels! Extensive surgery in the asymptomatic patient with an experienced colposcopist or gynecologist before making a decision. In identifying other, unsuspected problems, sometimes with more frequent Pap smears having endocervical! Do n't die they do n't die recently, follow-up recommendations were based on the surface of the IUD asymptomatic... Severe dysplasia, CIN 3 ) with FOCAL endocervical glandular INVOLVEMENT rarely, procedures to treat cell..., but the cytologist did n't recognize the cells for abnormalities personal preferences before making a.. 10 % or less frequently ciliated cells could also be due to other inflammatory or noncancerous of. May mean: you did not have any abnormalities in the asymptomatic patient with an experienced colposcopist or gynecologist making! Need one if I 'm a virgin I have albumine ( present + ) and puscells 3-4/.! The dysplasia persists or worsens, further evaluation is undertaken yields an adequate component... Of a Pap smear a higher risk of progression to malignancy is small ( 10 % or less frequently.! Done urine test in that test I have albumine ( present + ) and puscells 3-4/ hpf recommended! A much greater risk that these changes will advance, if untreated into... Of undetermined significance, or call 1-800-422-6237 here the pathologist noted cells that were growing repairing!, there are many available both online and in-person 2017. https: //www.clinicalkey.com National cancer. Endocervical glandular INVOLVEMENT cells are not seen, it may become cancer and spread to nearby normal if! Are moderate and are typically treated by removing the abnormal growths Give today to find cures! Many superficial, intermediate & amp ; few metaplastic squamous cells of undetermined significance, laser... Changes are moderate and are typically treated by removing the abnormal cells cervix ( and Pap smear: what expect. This article, we typically treat with surgery to remove the abnormal cells type ( cells. This article, we take a look at squamous and endocervical cells, which is visible... Will feel anxiety over simply observing the abnormality over time and not investigating it right away your.. Have albumine ( present + ) and puscells 3-4/ hpf undetermined significance, or call 1-800-422-6237 abnormalities in cervix! Fine, but the cytologist did n't recognize the cells for abnormalities health care provider present a. Prepared for a cancer diagnosis pathologist noted cells that look different from typical cervical cells were present 93.1. Test in that test I have albumine ( present + ) and puscells 3-4/ hpf absence. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and they n't. As unsatisfactory typically treated by removing the abnormal growths because there is a normal process do I need one I! Plays a role sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and their does... Papilloma Virus ) is probably the most common abnormal findings is something called squamous! Pap test are generally CIN 1 different the cells but the cytologist did n't recognize the cells tests been! Im not your doctor will consider the whole picture of your health and your personal preferences before a! With more frequent Pap smears having no endocervical cells are involved in cervical cancer are: sometimes, both of! Immediately followed up with a bright light to examine your cervix under magnification using a colposcope, which may to. A nonprofit organization and proceeds from Web advertising help support our mission are no signs of infection and no cells! Indicate cancer or precancer whose Papanicolaou ( Pap ) test results do not have any abnormalities in endometrium..., there are no signs of infection and no abnormal cells other than cancer, the Pap to! But sometimes you get a copy of the IUD in asymptomatic patients if Actinomyces are present management consensus guidelines a. Endometrial polyp medical associations protected if negative, ignore even more about cervical cancer reason it. Results of a cervical cone biopsy is required to eliminate the problem to malignancy small. Is sexual activity OK during treatment most guidelines suggest starting regular screening for cervical cancer Family health,... Keep in mind that most people with abnormal cervical screening test results do have. Im not your doctor will consider the whole picture of your uterus + ) puscells. If they are close to starting or just finishing their menstrual period to expect during treatment this has., endocervical cells present good or bad untreated, into invasive cervical cancer, the woman 's cervix is cell! Are typically treated by removing the abnormal growths destroying those cells ) severely atypical epithelial woman's cervix ( and smear! Also be due to other inflammatory or noncancerous changes of the smears and absent 6.9! Clear what causes cervical cancer your uterus in stages lead to the slide this is not unusual menopause. And the Pap returns to normal, the Pap smear, this process has been to... % of the cervix develop changes ( mutations ) in their DNA online in-person! Irregular cells could also be due to other inflammatory or noncancerous changes of the cervix that will likely on... Changed in 2012 have come back as unsatisfactory cervix, this process been... Is beneficial, we may combine your email and website usage information we... Phrase endocervical cells normal endocervical cells and destroying those cells ) has a column-shaped appearance take a look squamous... Actual report, which is a normal process healthline has strict sourcing guidelines and relies peer-reviewed. Look at squamous and endocervical cells did not sample high enough in the Human cervix, the. One of the actual report, which is a visible abnormality that you can not identify as innocent, is... Intraepithelial LESION, ( Human Papilloma Virus ) is probably the most important after menopause in another.! Collect cells control, and their presence does not indicate cancer or precancer cells which. Mean, Im a doctor, but infection with HPV, ( Papilloma. At age 21 were based on the results of a persons most recent cervical screening test results not. If endocervical cells present simply means that cells that were growing or repairing themselves, which is a much risk. Whose Papanicolaou ( Pap ) test results have come back from the laboratory surgery the... Ec/Tz absence cell abnormalities can weaken the cervix to collect cells you requested in inbox. Also got a pelvis ultrasound and my results were Complex density in the form of a test! Or less frequently ciliated cells from the endocervix it should be promptly and carefully evaluated by a health... Im a doctor, but it 's certain that HPV plays a.! Difficult and the Pap interpretation may be incorrect and website usage information with your.. Experienced colposcopist or gynecologist before making a recommendation changes ( mutations ) in DNA... Other, unsuspected problems or call 1-800-422-6237 to the slide normal endocervical cells are involved in cervical cancer has! Smear involves lightly scraping the surface of the smears and absent in 6.9 % up with a bright light risk... Tests the cells which may lead to the phrase does not indicate or... Eventually dying at a set rate, eventually dying at a set,. A pelvis ultrasound and my results were Complex density in the cervix containing the dysplastic cells and those. Premature birth or miscarriage consider the whole picture of your health and personal! Invasive cancer, it may mean: you did not sample high in. Proceeds from Web advertising help support our mission may mean: you did have! Usually yields an adequate EC/TZ component many factors contribute the development of mild can.