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Cone Biopsy: Treatment, Cost and Side Effects

What is the Cone Biopsy? How is the Cone Biopsy treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the Cone Biopsy?

Cone biopsy is usually performed to test the presence of cervical cells in the cervix, where a small cone shaped piece of tissue is removed from the cervix. It is generally performed after a Pap test which indicates the presence of cancerous cells in the cervix. What is cervix? The cervix is the bottom part of your uterus. It connects the uterus to your vagina. Therefore, it remains closed most of the time and dilates or opens during labour. Moreover, menstrual blood flows through the cervix to your vagina and out of the body.

A cone biopsy can also be used to treat abnormal cervical cells that have been picked up during a screening. The abnormal cells might be on the surface of the cervix or the inner part of the cervix (the cervical canal). The risk of developing cervical cancer is greater for women aged between 21 and 30 years and should go for monthly screenings or Pap tests.

Cone biopsy is generally performed by a gynecologist but involves a pathologist and anesthetic as well. Therefore, a general anesthetic is given to patient and you won’t be able to eat or drink at least 6 hours prior to the operation. The whole operation takes about 15 minutes in total.

How is the Cone Biopsy treatment done?

The whole procedure of cone biopsy takes 15 to 20 minutes to perform. Your doctor will use a speculum to keep the vagina open. The small tissue taken from the cervix is either extracted by using a scalpel or a loop electrosurgical excision procedure (LEEP) which uses low-voltage, high voltage frequency to excise tissue. After which the cone shaped wedge of tissue is sent to the laboratory where the pathologist looks at the tissue under a microscope. They either check for abnormal cells or check for cancer cells at the cervix.

The doctor will put some gauze in your vagina to put pressure on your cervix so that the bleeding stops. They also put a tube into your bladder (catheter) to drain urine from your body.

You will be required to stay in the hospital for 5 days during which you will be monitored by a nurse. You will probably have period like pain when you wake up for which you will be given painkillers. It’s normal to bleed for up to 6 weeks after a cone biopsy for which the doctor may give drugs like vasopressin or tranexamic to reduce the bleeding.

Who is eligible for the treatment? (When is the treatment done?)

A person having cervical cancer with symptom like abnormal bleeding (between periods, after sex, or after menopause), heavier than normal periods, pain during sex and unusual vaginal discharge that might contain blood is eligible for this procedure. It is also performed after a Pap test or the presence of abnormal cells in the cervix.

Who is not eligible for the treatment?

People suffering from other type of cancer like lung or blood is not eligible for the procedure of cone biopsy.

Are there any side effects?

Although cone biopsy is safe procedure but you can experience side effects like bleeding and infection that might lead to smelly vaginal discharge, pain in your lower abdomen and fever.

Another complication that may arise due to cone biopsy is narrowing of the cervix which is known as cervical stenosis. The cervix may become so tight that a sperm is unable to enter the uterus to fertilize the egg. Therefore, you may need additional surgery to stretch or dilate the cervical opening. Moreover, women who had cone biopsy have a higher chance of their babies being born before 37 weeks or a higher risk of a low birth weight of the baby, less than 2.5 kg or an increase in birth by caesarean section.

What are the post-treatment guidelines?

When you come home from the hospital, you should rest for the first week or so. It’s not important to lie in bed all day but you can physically active as well. Do’t do heavy housework or carry heavy loads. Also don’t do any exercising (like running or aerobics) and abstain from doing sexual intercourse for at least for 4 or 6 weeks. Moreover, don’t use tampons or douches instead use sanitary pads. You will be required to use sanitary pads for at least 2 to 3 weeks as you will bleed for the first few days which will turn watery. Refrain from tub baths instead take showers.

You should also follow it up with an appointment with your doctor after 6 months or even earlier if you feel any discomfort at any point of time. Don’t get worried if you are not getting a period as you will probably get a late period post-surgery.

How long does it take to recover?

The recovery period for cone biopsy usually range from two to four weeks.

What is the price of the treatment in India?

The procedureis generally done for early stage of cancer and is very cost effective. It usually range from Rs.13000 and go up to Rs. 2,00,000

Are the results of the treatment permanent?

If your cancer is at an early stage, then the results of the procedure is permanent. However, there is gaurantee for cancer and it can reoccur after a period of time.

What are the alternatives to the treatment?

Other alternative treatments for cone biopsy includes cryotherapy or laser vaporization that can treat early-stage cancer. A hysterectomy is also used in place of cone biopsy. There are two types of hysterectomy, one is subtotal where the uterus is taken away and the other is radical hysterectomy where the uterus, cervix, ovaries, fallopian tubes, lymph nodes and lymph channels are taken out.

Popular Questions & Answers

Today my mother report has to diagnose of cone biopsy + ecc. Descriptive see above (mp1107) squamous sell carcinoma keratinising moderately differentiated squamous cell carcinoma keratinising moderately differentiated (m69719) can anyone tell us about what's in report?

MD - Homeopathy, BHMS
Homeopath, Vadodara
I need to see your complete report to help you. But from above described reports your mother have cancer cells so better consult oncologist and go for treatment as per his advice. You can consult me at Lybrate for homoeopathic treatment and furthe...
1 person found this helpful

What Does Pleural fluid biopsy mean? Does it take tissue for biopsy or Pleural fluid?

C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Pleural fluid means the abnormal fluid collection between the covering layers of lung . This fluid gets collected in many diseases like TB and many more, Biopsy is done by collecting the fluid using a needle and it helps to diagnose the disease

Its an urgency. please tell me how many biopsy shld I go for to confirm cancer? And which hospital's biopsy report is treatable? please help me.

DM - Oncology, MBBS, MD - Medicine
Oncologist, Mumbai
Diagnosis of cancer is done by biopsy, so one can have as many as biopsy till he gets diagnosis confirmed when has high suspiciousness.
1 person found this helpful

Last month I have been through DLC and biopsy. Since then I have been through cramps .I just want to know that is it normal or serious.

Physiotherapist, Kolkata
hi, It is Not normal Consultation with your Doctor and MD Medicine and Oncology doctor for your better.

I am 36 years old and want to conceive first time. My doctor advice my uterus biopsy to check the infertility. I am scared, is there any risk in biopsy? My biopsy is planned on 28 july 2018. Would I tried to conceive in August after biopsy or it will take time to heal? Should we wait for at least two months after biopsy?

MBBS, MD - Obstetrtics & Gynaecology, FMAS, DMAS, Fellowship in Assisted Reproductive technology
Gynaecologist, Noida
Hello, there has to be treason for biopsy unless you have been suffering from menorrhagia or primary infertility and she wants to rule out TB with mtb-pcr.

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