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Glandular cells present

Jwk7385
Posts: 10
Joined: Aug 2013

I went in for routine colonoscopy, which went fine. However, doctor said there was a "nodule" on my anus, and they needed to send some cells to lab for analysis. About a week later, his office called and said I needed to make an appointment for a high resolution anoscopy with a different doctor. First available appointment isn't until late September(7 weeks after test results came back).

i asked for copy of pathology report, which has two listings under diagnosis:

 

1. Low-grade squamous intraepithelial lesion

2. Glandular cells present. 

Ive been able to read up on LSIL so I have a pretty good idea what that means. But I can't find any information on the glandular cells diagnosis.  Does anyone have a feel for the significance of this?  Obviously I will have lots of questions for the doctor, but my appointment is still 5 weeks away!!

thanks in advance. 

mp327's picture
mp327
Posts: 2818
Joined: Jan 2010

Sorry that your path report has brought you to this site.  I'm not sure what "glandular cells present" means.  I'm sorry for not being any help.  I'm glad you have an appt. scheduled for anascopy and I hope you'll get all of your questions answered then.  Just sorry you have to wait for so long.  If I can find anything about glandular cells, I will post.

Jwk7385
Posts: 10
Joined: Aug 2013

Mp327: thanks For your support. Not knowing how to interpret the report is hard. 

mxperry220
Posts: 348
Joined: Mar 2011

You might want to contact your doctor with this question.

Jwk7385
Posts: 10
Joined: Aug 2013

Mxperry220: thanks--it's definitely on my list of questions for my appointment, but that's still 5 weeks away. Thought someone here might have a resource that could refer to in the interim. 

mxperry220
Posts: 348
Joined: Mar 2011

You might want to phone your doctor and leave a message.  Hopefully he will return your phone call.

eihtak
Posts: 809
Joined: Oct 2011

Hi, I don't know if this will help or not but had it in some notes......

The lining of the anal canal between the outer skin (the perianal area) and the rectum is made up of squamous cells. Most anal cancers are squamous cell cancers. The area where the anal canal meets the rectum is called the transitional zone. Here the lining of the anus changes and is made up of both squamous cells and glandular cells. Glandular cells make the mucus that helps stool pass through the anus smoothly. Doctors call this area the dentate line. A rare type of anal cancer can develop from these glandular cells called adenocarcinoma of the anus.

So......does that mean that just because the cells are present you have reason to worry????? Possibly just a reason to be watched more closely than if they were not present, at least for a while. I will pray that all goes well, I know how difficult it is to play the waiting game! Try to stay busy and do healthy, positive things.

As always all in my prayers.

mp327's picture
mp327
Posts: 2818
Joined: Jan 2010

Thanks for doing this research!

Jwk7385
Posts: 10
Joined: Aug 2013

Thanks for your post and your concern. I will update after my appointment. 

qv62
Posts: 235
Joined: Nov 2012

hope these next 5 weeks go quickly for you, wishing you all the best, check back each week in case they got a cancellation, you never know when someone has a change of plans

Jwk7385
Posts: 10
Joined: Aug 2013

FWIW, wanted to mention that I made an appointment to see my primary care physician today to discuss the pathology report. Unfortunately, she called in sick today, so I had to meet with a PA instead. I ended up getting only very general information, but she did say that the "glandular cells present" notation probably just meant that they noted the presence of glandular cells in the sample but not that there was anything abnormal about that finding. She said they likely would have noted any abnormality elsewhere on the report.

So, a little peace of mind on that score for the moment.

While not exactly looking looking forward to the HRA next month, I am looking forward to getting a clearer picture of my condition.

Many thanks to all who responded with encouraging words. I will update after the next appointment.

eihtak
Posts: 809
Joined: Oct 2011

Hi, that does make sense, and most likely would have had some additional notation if the pathologist felt needed. We have all had opportunity to worry over wording on reports that were not completely clear so can relate. I will keep you in my prayers that when you receive a more detailed explanation all is well! Enjoy your chance to breathe as worry will not get you far.

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