What to do if P4 is the result of cancer screening?

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During gynecological cancer screenings, it is possible for someone to receive frightening results. This is also the case with P4, which causes great concern among those involved, since cells suspicious of cancer can already be found at this point. What exactly does it mean if P4 appears on someone’s findings, Dr. We asked Balázs Hernádi, a doctor dealing with gynecological tumors at the Gynecological Center.

Cervical cancer screening is required annually

In addition to breast cancer, cervical cancer is one of the most common types of cancer among women, so we cannot stress how important annual cancer screening is. This is also of great importance, because it can (quickly) shed light on cancer-preventing conditions, which can be effectively treated – P4 is often like this. Cervical cancer itself can take a long time, even 10-15 years, so it can be prevented!

After the cancer screening, in addition to the results of the P-scale (P1, P2, P3, P4, P5), the doctors take into account the results of the detailed Bethesda scale for the evaluation.

The result was P4 – what does this mean?

If someone gets a P4 result, it definitely requires further work and tests, as this means that there are already a large number of abnormal cells (this does not necessarily mean cancer!). In such cases, HPV screening, as well as histological sampling and cone-shaped excision of the cervix (loop conization) are definitely necessary.

This is a minor gynecological surgery, a “one-day procedure”, which is necessary for the further analysis, moreover, the pathological part can often be completely removed, so the intact, healthy area remains, no further surgery is necessary.

Precise information about what to do next can be given after the histology. If only the healthy cervix is ​​left after the conization, a control cytology is recommended every three months, and after one year only the annual cancer screening is necessary, says Dr. Balázs Hernádi, a gynecologist dealing with gynecological cancer problems at the Gynecological Center.

In the event that it was not possible to completely remove the problematic part, the conization must be repeated (reconization). If this does not lead to results, or if the condition is more advanced based on the histology, taking age and fertility into account, it is necessary to consult an oncologist-gynecologist regarding further options (this could even be removal of the uterus).

Gynecology Center


Source: Patika Magazin Online by www.patikamagazin.hu.

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