complex cyst, thickened uterine lining, abnormal PAP, positive HPV

[lilkit]

My daughter has just been diagnosed with all of the things named in the subject line. It seems unusual to me that the ovaries, uterus, and cervix would all be involved. Could these be three separate problems, or is it more likely that they are all connected. She had an endometrial biopsy two days ago and will have a colposcopy on Monday. Her CA125 was 30. I just lost my other daughter to cervical cancer last month. What is the likelihood that this could also be cancer?

[Annekathryn Goodman, M.D.]

Hello, I am so sorry to hear about your loss of your daughter. You must be very worried about your other daughter. It sounds like she is getting a good evaluation. I do not think I can answer your question because the likelihood of cervical cancer will depend on the actual report from the pap smear. If it just says "atypical cells", then very unlikely to be cancer, if it reads "suspicious for invasive cancer" then very likely to be a cancer. The colposcopy will answer those questions.

I agree that the thickened endometrial lining and ovarian cyst are probably unrelated to the pap smear. It is important to know a person's age, when their last menstural cycle was, what medications they are on (such as the birth control pill) to fully understand the significance of certain ultrasound reports.
take care

[Pat3511]

A related discussion, Endometrial Lining Found in Cervix During Papsmear was started.