How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 31156
Experience:  Experienced Oncology Physician trained in New York City. I'm ready to help.
41363181
Type Your Oncology Question Here...
Dr. David is online now
A new question is answered every 9 seconds

I was treated for VAIN II a year ago. The following two PAPs

Resolved Question:

I was treated for VAIN II a year ago. The following two PAPs on the lesion site were normal. This time, the PAP result showed ASCUS. The doctor said that since I have been negative all along for HPV I am not at increased risk for vaginal cancer, and the ASCUS PAP was considered normal. My maternal grandmother died of vaginal cancer, and all the women on my mother's side have a history of abnormal PAPs, including CIN. My mother had cervical cancer that recurred following surgery and subsequently underwent a radical hysterectomy. Does this pose a familial risk even though I am negative for HPV? If so, what is the increased risk?
Submitted: 1 year ago.
Category: Oncology
Expert:  Dr. David replied 1 year ago.

Dr. David :

Hello, this is Dr. David. I have read your question and I'm ready to help.

Dr. David :

no, cervical cancer is not genetic or familial.

Dr. David :

cervical cancer comes from environmental effects on the cervix such as HPV virus

Dr. David :

just because your mother had cervical cancer does not mean you will have it.

Dr. David :

keep getting your pap smears and you will catch anything early, but it sounds like you will not get cervical cancer.

Dr. David :

the rate of cervical cancer continues to go down and down with every generation as pap smears are more common

Dr. David :

let me know if you have questions.

Customer: Thank you very much for your prompt reply. I guess I was concerned more because this ASCUS was on the vaginal wall in the same location as my VAIN II. It was not on the cervix. I thought it was strange that I would have abnormalities there even though my cervical PAP has always been normal and HPV negative. Since my grandmother had vaginal cancer, and I was told that vaginal cancer was rare, I simply wanted to make sure I wasn't following in her footsteps. I'm glad to know that this is not genetic as well! I feel strange asking the doctor to perform a vaginal smear in addition to my annual cervical PAP, but I think I will continue to do so simply for my own peace of mind. Thank you for your help.
Dr. David :

I think it is a good idea to continue to do a vaginal smear along with a pap smear as well.

Dr. David :

and continue to do regular gyn exams.

Dr. David :

vaginal cancer is not as common as cervical cancer and less is known about vaginal cancer.

Dr. David :

alot we know about vaginal cancer is taken from research done for patients who have cervical cancer.

Dr. David :

best of luck to you

Dr. David :

let me know if you have other questions.

Dr. David :

if done, please leave +++ positive feedback below the chat box

Dr. David :

you can always reach me as Dr. David if you have other questions.

Dr. David :

thanks for using JustAnswer.com

Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 31156
Experience: Experienced Oncology Physician trained in New York City. I'm ready to help.
Dr. David and 3 other Oncology Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. David

    Doctor (MD)

    Satisfied Customers:

    5742
    Experienced Oncology Physician trained in New York City. I'm ready to help.
< Last | Next >
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Doctor (MD)

    Satisfied Customers:

    5742
    Experienced Oncology Physician trained in New York City. I'm ready to help.
  • http://ww2.justanswer.com/uploads/LA/Laendo90020/2013-10-7_132943_Scan2mb.64x64.jpg Dr. Samurai's Avatar

    Dr. Samurai

    Physician

    Satisfied Customers:

    48
    I will provide help with all gastroenterological (GI) oncology questions.
  • /img/opt/shirt.png doconc's Avatar

    doconc

    Medical Oncologist

    Satisfied Customers:

    248
    I am a board-certified medical oncologist and specialize in adult oncology
  • /img/opt/shirt.png J's Avatar

    J

    Doctor (MD)

    Satisfied Customers:

    13
    Board Certified in Medical Oncology
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    45656
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14415
    MD
 
 
 

Related Oncology Questions