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Abnormal Pap Test Results

Updated: Friday, January 25, 2008

Cervical cancer can occur when cells of the cervix become abnormal and start to grow in an uncontrolled fashion. The goal of cervical screening (Pap tests) is to find these abnormal cervical cells at an early stage when they can be easily removed to prevent cancer. Pap test can also find cervical cancer but this is extremely rare in women who are regularly screened.

Several Pap test results are possible:

Normal: Most women will have a normal result. In this case, continue with your regular screening.

Your family physician can provide more information about abnormal Pap test results.

Mild atypia: This means that mildly abnormal cervical cells were found on your Pap test. The mildly abnormal cells usually return to normal with time. Follow-up with another Pap test in six months. If the mild atypia does not go away within two years, you will be referred to a specialist for a closer examination of your cervix. This procedure is called colposcopy.

Moderate or severe atypia: This means the abnormal cervical cells show moderate or more severe changes. Only a small number of women with this finding will actually have cancer. If you have moderate or severe atypia, you will be referred to a specialist for colposcopy (a closer examination of your cervix).

If no abnormalities are found during the colposcopy you will be advised to have a follow-up Pap test. If an area of concern is found, a cervical biopsy will be taken to help decide if treatment is needed or not. 

    Click on this pamphlet for more information on abnormal results, 
    biopsy and treatment of abnormal cells.