What is Squamous Metaplasia?

Q.I have just received a colposcopy result that confirmed 'squamous metaplasia'. Can you tell me what that is, and what happens next?

A.

Squamous metaplasia is one of the things that is tested for using the cells gathered from a cervical smear. When a smear is taken the specialist is looking for any types of changes to the cervix and these cells will often look more irritated and different to the others.

The condition itself is considered to be not yet cancerous (benign) but may need treatment as the potential for developing cancer is there. The area where squamous metaplastic cells are found is known as the transformation zone of the cervix and it is in this area that most of the cervical cell changes take place. These changes occur as a response to inflammation of the area or an irritation or surrounding tissues.

Following a smear where cell changes have been seen it is usual to undergo a colposcopy at which stage the type of cells will be noted. Those with squamous metaplasia will often be told to return for another appointment in a few months time to assess any further changes to the cells.

If there are no further changes the chances are your specialist is not worried about the initial findings, however if the area affected involves more than just a few cells it may be necessary to treat these prophylactically, meaning as a preventative measure. This may mean freezing the area so that cell growth and re-growth are prevented or limited or it may mean that you need to have some of the area excised.

If the area is to be removed you will often have to attend as a day patient. You may receive a general anaesthetic and electrical equipment is used to assist the surgeon in the removal process. The surgeon will usually take away a border of healthy tissue around the affected area to ensure that all the cells are taken and there is little chance of any remaining.

All women worry about the risk of cervical cancer and it is normal to be concerned. It is recommended that you speak to your doctor of practice nurse and ask them to explain the condition in more detail. perhaps they have some leaflets that you could take home to read?

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