Cone biopsy what is

You may request a live medical interpreter for a discussion about your care. Health Library. Home Health Library Cervical cone biopsy. Share Print Email. Cervical cone biopsy.

What you should know A cervical cone biopsy is surgery to remove tissue from the cervix. Cervical dysplasia, which is disease of the tissue of the cervix Dysplasia involving the cervical canal Abnormal Pap smear, which is not explained by office biopsies Adenocarcinoma in situ A biopsy that needs only a small amount of tissue may be done in the doctor's office.

Post anesthesia care unit After surgery, you will be monitored closely. Recovery after surgery After surgery, you may feel weak and tired from the anesthesia you received during the procedure. Pain medicine You may experience some abdominal cramping for hours following the procedure. Vaginal discharge You will experience some bloody discharge.

Restrictions Nothing in the vagina for four weeks. You may drive unless taking medication that makes you drowsy. You may return to work in days. Avoid any heavy lifting or aerobic type exercises for two weeks. Reasons to call us Temperature over Dana-Farber: Brigham and Women's: If it is after p. Follow-up The final pathology report is usually sent out in business days. Most women are able to go back to work within 1 or 2 weeks.

You shouldn't do any vigorous exercise or have sexual intercourse for 4 to 6 weeks after your cone biopsy. By that time your cervix will have healed. Before you leave hospital, make sure you know how you will be given the results.

You might go back to the hospital for an outpatient appointment to get the results. Or the results may be sent in the post. If you had a cone biopsy for abnormal cells, you usually have a follow up appointment about 6 months afterwards. This might be at the colposcopy clinic or GP surgery. The cone biopsy usually removes all of the abnormal cells so you don't need any further treatment. You continue with regular cervical screening tests to make sure your cervix remains healthy.

If you are diagnosed with cervical cancer, your doctor will arrange for further tests. You will meet a specialist cancer nurse to help support you. Cone biopsy is normally a safe procedure but your nurse will tell you who to contact if you have any problems after your test. Your doctors make sure the benefits of having a cone biopsy outweigh any possible risks. There is a small risk of heavy bleeding. Your nurse will check you regularly after your operation for signs of bleeding.

You may need treatment to stop the bleeding. To reduce the risk of infection, avoid having sex and using tampons for up to 6 weeks after the biopsy. Avoid swimming during this time too. The sample is examined under a microscope for signs of cancer. This biopsy may also be a treatment if the provider removes all of the diseased tissue. Most of the time, you will be able to go home the same day as the procedure. How to Prepare for the Test.

You may be asked to not eat or drink for 6 to 8 hours before the test. How the Test will Feel. For about 4 to 6 weeks avoid: Douching douching should never be done Sexual intercourse Using tampons For 2 to 3 weeks after the procedure, you may have discharge that is: Bloody Heavy Yellow-colored.

Why the Test is Performed. A normal result means there are no precancerous or cancerous cells in the cervix. What Abnormal Results Mean. Risks of cone biopsy include: Bleeding Incompetent cervix which may lead to premature delivery Infection Scarring of the cervix which may cause painful periods, premature delivery, and difficulty getting pregnant Damage to the bladder or rectum Cone biopsy may also make it hard for your provider to interpret abnormal Pap smear results in the future.

Alternative Names. You will need to take off your clothes below the waist and drape a paper or cloth covering around your waist. You will then lie on your back on an exam table with your feet raised and supported by footrests stirrups. Your doctor will insert a lubricated tool called a speculum into your vagina. The speculum gently spreads apart the vaginal walls, allowing the inside of the vagina and the cervix to be examined.

Medicine that makes you unconscious general anesthesia or that makes the entire genital area numb regional anesthesia, such as a spinal or epidural may be used. A cone biopsy using LEEP may be done in your doctor's office with an injected medicine that numbs the cervix cervical block.

If a cervical block is used, an oral pain medicine or pain medicine given into a vein intravenous, or IV may be used along with the local anesthetic. Right after surgery, you will be taken to a recovery area where nurses will care for and observe you. You likely will stay in the recovery area for 1 to 4 hours, and then you will go home. In addition to any special instructions from your doctor, your nurse will explain information to help you in your recovery. You will likely go home with a sheet of care instructions that include who to contact if a problem comes up.

If you have a cone biopsy, you need regular follow-up Pap tests and colposcopic examinations. A Pap test should be repeated every 4 to 6 months or as recommended by your doctor. After several Pap test results are normal, you and your doctor can decide how often to schedule future Pap tests. A cone biopsy may be done after a Pap test shows moderate to severe cell changes and:.

The cone biopsy may remove all of the abnormal tissue. This would mean that no further treatment is needed other than follow-up Pap tests.

The edges of the cervical tissue removed by a cone biopsy may contain abnormal cells, meaning that abnormal tissue may be left in the cervix. The cone biopsy may be repeated to remove the remaining abnormal cells.