Hi!
If I were in your situation, I think I would go with the cone biopsy. If you knew for sure that you wanted children, I would go with the ECC/ etc. If you knew 100% that you would never want children, the hysterectomy might sound good. If you want the best diagnostic procedure that leaves your options open ( 38 is young!) the cone is the way to go. Yes, it IS possible that the specimen will show something more than CIN 3. The MOST likely finding will be a negative sample. I'll bet that either they don't find any more dysplasia, or if they do, that they find CIN 3. But, that is the reason to do the cone-which by the way is a satisfactory treatment for AIS.
Since dysplasia is caused by HPV which is currently not curable, it is always possible for the abnormal cells to come back. We always hope that by removing all of the transformation zone and abnormal cells within it, that we permanently solve the problem, but you will need to keep up your careful surveillance!
Good luck!
Dr B
i forgot to mention that after the pap in sept of 2009 i had two cervical biopsies,ecc, and uterine biopsy. ecc and uterine biopsy negative, cervical showed CIN III.
This is what eventually lead to the LEEP.