Ultrasound for Atypical Glandular Cells

[AJ3376]

I had a pap smear that came back as 'atypical glandular cells of unknown significance.'  I am hpv negative.  I had a colpscopy, biopsy, and curretage on Monday.  It came back negative/normal.  I feel no relief.  I have been reading and 50% of the time this comes back as a false negative.  Also, the curretage only determines that the top part and lining of my cervix is normal.  I requested an ultrasound, and he said if I still wanted one in 6 months he would do one.  I am concerned because I have had weight gain, I think I look 4-5 months pregnant, and I have acne problems which are all fairly new things.  I think something hormonal is definitely going on with me.  Should I be more persistent about getting an ultrasound?  How likely could this be my ovaries or uterus?

Angie

[Annekathryn Goodman, M.D.]

HI There
I agree
get an ultrasound
best wishes

[AJ3376]

I have one other question.  It is kind of disgusting, so I didn't want to ask...but I am still disturbed by it.  Three days after the colposcopy I passed a fluid filled sac.  I can't tell you what color it should have been because the sac was kind off a clear, gold color from the medicine he applied to my cervix.  It was about 3 inches long and 1 inch wide.  It was full of discharge, fluid, and clots.  My doctor said this is normal, but it didn't feel normal to me.  There is no way I could be pregnant.  I got off my period the week before, and I had my tubes tied after my last son.  Could you give me some insight on what this was?  Thanks for your help.

[AJ3376]

Dr. Goodman,

I had the ultrasound that you agreed I should have.  I had a cyst and a fybroid tumor.  The cyst was 1 1/2 inches and the fybroid tumor was about the same in size.  I also had atypical glandular cells of unknown significance.  My doctor said we would do another pap smear and ultrasound in January.  Does that sound right to you?

thanks

[Annekathryn Goodman, M.D.]

Hi There
that does sound right.
if you are over 40 years old,
I would add a biopsy of the lining of your uterus.
best wishes