u/misunderstoody

Hi everyone,
I’m looking to hear from women who may have gone through something similar. Also, sorry if there are any mistakes cause English is not my first language.
My diagnosis of moderately differentiated invasive endocervical adenocarcinoma was obtained through a fragment biopsy during a colposcopy in March 2026.
On April 14th, I had a LEEP (I’m not entirely sure if it was a full cone biopsy or just a loop excision procedure). Then on May 2nd, I had both a pelvic MRI and an abdominal CT scan (I was still bleeding at the time, either from the LEEP or my expected period).
Here’s a summary of my results:
The initial biopsy confirmed invasive endocervical adenocarcinoma
The LEEP specimen showed no malignancy, only low-grade dysplasia and inflammation, with clear margins
The MRI still shows a small focal lesion in the cervix with diffusion restriction, but no spread beyond the cervix and no lymph node involvement
The CT scan was essentially normal, with no signs of metastasis
So now I’m in this confusing situation where:
One test confirmed cancer
The LEEP didn’t find it
But the MRI still shows something suspicious
My appointment with the oncologist is on the 11th, and my mind is racing a bit.
Has anyone here had a situation where:
The LEEP or cone biopsy came back clear after an initial cancer diagnosis?
Imaging still showed something afterward?
It turned out to be residual disease vs. just healing/inflammation?
I would really appreciate hearing your experiences — especially what your doctors ended up recommending (monitoring, repeat procedure, surgery, etc.).

Details

INITIAL BIOPSY
Invasive endocervical adenocarcinoma.

CONE BIOPSY (CAF – LOOP ELECTROSURGICAL EXCISION)
Specimen description:
Cone specimen with a suture at 12 o’clock, measuring 2.5 x 2.0 x 0.7 cm.
Macroscopy:
Brown, firm fragment.
Microscopy / Conclusion:
Cervical mucosa with:
Focus of low-grade endocervical dysplasia
Chronic nonspecific cervicitis
Endocervical squamous metaplasia
Nabothian cysts
Presence of foci of foreign body-type giant cell reaction
Old hemorrhage in the stroma
Ectocervical and endocervical surgical margins histologically preserved
Note:
Absence of criteria for malignancy in the submitted specimen

PELVIC MRI
Indication:
Staging of endocervical adenocarcinoma
Findings:
Small focal area centered in the endocervical region between 6 and 7 o’clock, showing slightly hyperintense and heterogeneous signal on T2-weighted sequences, with diffusion restriction, without evidence of parametrial extension
No signs of frank disruption of the cervical stromal ring or extension to the parametrium
No signs of involvement of the uterine body, vagina, or pelvic wall
No lymphadenopathy
No free fluid in the pelvic cavity
Impression:
Small lesion compatible with endocervical adenocarcinoma, restricted to the cervix, without evidence of parametrial, vaginal, vesical, or rectal extension
No suspicious pelvic lymphadenopathy

ABDOMINAL CT SCAN
Findings:
Liver, pancreas, spleen, kidneys, and adrenal glands with preserved appearance
Biliary ducts without dilation
Small and large bowel loops without abnormalities
No lymphadenopathy or free fluid in the peritoneum and retroperitoneum
Abdominal vessels with normal caliber
Poorly distended bladder
Dominant follicle in the right ovary measuring 1.9 cm
Minimal free fluid in the pelvic recess
Conclusion:
Minimal free fluid in the pelvic recess
Dominant follicle in the right ovary