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Hi, I’ve had my smear results come back as positive and need to have colposcopy next week and it says with treatment. When I’ve looked on my NHS account it says Glandular neoplasia of an endocervical nature and positive LBC SNOMED CODE CX: TEA559.M81403. Please can you tell me what this means I’m sick with worry. I’m 39 and had spotting for a month that has now stopped after period came. Should I be prepared for the worst? What should I expect at my appointment. Thank you so much.

  • Hi there Tracy3210 and thanks for posting

    I appreciate that it can be a worrying time getting abnormal screening results, alongside needing to undergo further tests but try not to over think this for now if you can.

    From what you have shared it seems some abnormal glandular cells have been picked up in screening that need to be more closely examined and treated in colposcopy.

    At colposcopy they will be able to examine the cervix and the abnormal areas more closely and may also take some and biopsies (tissue samples) of the areas before planning what treatment is needed.

    There are 2 main types of abnormal cells that develop in the cervix that are both regarded as pre cancer cells, these are CIN Cervical intraepithelial neoplasia ( CIN) and Cervical glandular intraepithelial neoplasia (CGIN). Abnormal cells can be graded as low, moderate or severe and are treated according to the risk of them turning into cancer. CIN and CGIN are treated similarly however CGIN tends to be treated as standard practice when found as they are at higher risk of turning into cancer.

    The important thing to remember is that cervical screening is all about preventing cancer by picking up abnormality at an early stage where it can be monitored or treated. And even in the rare cases when cancer is picked up through screening tests it is often at an early stage where it can be successfully treated.

    At the colposcopy clinic they will talk you through what they are doing and what needs to happen next.

    Wishing you all the best

    Naomi

  • Thank you for your reply! Would my GP know if my smear results were cancerous? I had to speak to them earlier as I was so upset and he said that no I don’t have cancer but that could change once I go for the Colposcopy l. 

    Thank you 

  • Hi there again and thanks for getting back in touch

    At this point in time your doctor doesn't know anymore than you do, that is that abnormal cells have been found on your cervical screening sample.

    It is only at colposcopy that you'll find out more by them taking a closer look at the cervix, possibly taking some biopsies and offering you treatment.

    Please try not to overthink this until you know more.

    Take care

    Naomi