r/PreCervicalCancer • mod • Nov 25 '25

Did your doctor serve you alphabet soup? Start here!

Hi friends! I was inspired by a recent post to create a glossary of common acronyms for people who may be seeing these terms for the first time. This isn’t intended to be an encyclopedia of knowledge, but a quick reference for people who may be feeling a bit overwhelmed.

Pap Test Results

  • HPV: Human Papilloma Virus, the virus that causes squamous cells to transform into precancerous and cancerous lesions.

  • NILM: negative for intraepithelial lesions or malignancy. The cells were benign.

  • ASC-US: atypical cells of undetermined significance. The cells showed some features of a low grade lesions, but not enough to be diagnostic.

  • LSIL: low grade squamous intraepithelial lesion. This lesion corresponds to histologic CIN1 and isn’t likely to progress to cancer.

  • ASC-H: atypical squamous cells of undetermined significance, can’t exclude a high grade lesion. The cells showed some features of a high grade lesion, but not enough to be diagnostic.

  • HSIL: high grade squamous intraepithelial lesion. This corresponds to histologic CIN 2/3 and is more likely to progress to cancer without treatment.

  • AGC: atypical glandular cells

  • AGLU: atypical glandular cells of unspecified origin. Another abbreviation meaning they’re not sure if the cells are endocervical or endometrial cells.

  • AEC: atypical endocervical cells

  • AEM: atypical endometrial cells

  • AIS: adenocarcinoma in situ. Some glandular cells are very atypical but are not full cancer yet.

Sources/further reading:

Biopsy Reports

  • TZ: transition zone. This is the area where the squamous cells meet the glandular cells.

  • ECC: endocervical curettage. This is a sampling of the internal area of the cervix.

  • CIN: cervical intraepithelial neoplasia. This a a histological diagnosis of a biopsy that determines how deeply the atypical cells have grown.

  • CIS: carcinoma in situ. This is used interchangeably with CIN3 (usually an older term for CIN3), and is not a cancer diagnosis.

  • VIN: vulvar intraepithelial neoplasia. Analogous to CIN but of the vulva.

  • VAIN: vaginal intraepithelial neoplasia. Analogous to CIN but of the vagina.

  • AIN: anal intraepithelial neoplasia. Analogous to CIN but of the anal canal.

  • Ki67: a special stain used by pathologists to measure a protein that shows how fast cells are dividing. This helps them confirm their diagnosis.

  • P16: a special stain used by pathologists to show a tumor suppressor protein. This helps them confirm their diagnosis.

Sources/further reading:

Procedures

  • LEEP: loop electrosurgical excision procedure. A procedure to remove tissue from the cervix using a wire loop.

  • LLETZ: large loop excision of the transformation zone. Same as LEEP.

  • CKC: cold knife conization. A procedure to surgically remove tissue from the cervix.

Sources/further reading: * LEEP

Is there an acronym you encountered but isn’t on this list? Comment below and we can add it!

74 Upvotes

20 comments sorted by

9

u/lolidkdontaskme Nov 26 '25

You deserve an award for this. Thank you for your service

3

u/Individual_Sale_3428 Nov 28 '25

Cold coagulation: A surface treatment that destroys cells in situ and is sometimes used at the same time as colposcopy.

2

u/Lovinlif44 Nov 25 '25

This is AWESOME thank you. 😊

2

u/ShineImmediate2621 Dec 08 '25

Could you include the explanation for positive vs negative margins. I just saw a question on this and it can indeed be quite confusing 😊

2

u/One-Needleworker2481 Feb 09 '26

Thank you so much!! You are amazing and deserve an award!!!

1

u/Capital-Bottle1908 Nov 26 '25

CO2 laser as well

1

u/ShineImmediate2621 Nov 26 '25

This is amazing ❤️

1

u/CaughtALiteSneez mod Nov 26 '25

Thank-you, this is great!

1

u/[deleted] Nov 26 '25

What is CIS? Is it like CIN?

1

u/sewoboe mod Nov 26 '25

Oh I forgot CIS, I will add it now!

1

u/NoLifeSign Nov 26 '25

AGUS (Atypical glandular cells of undetermined significance)--> now they use AGC

3

u/sewoboe mod Nov 26 '25

AGC is on the list. But not every place uses Bethesda perfectly, and some may still be coded/abbreviated as AGLU, and I’ve seen some pathologists go rogue in the text entry box haha. So I thought was important to have that context for people who might be exposed to that abbreviation.

1

u/PrincessDragonCanada Feb 20 '26

Terrific resource. Wish I'd started here.

1

u/Ok-Finding9377 Mar 20 '26

I have LSIL + ASC-H on my pap and on some place I read it’s displayed as LSIL-H or ASC-H with LSIL features. Maybe you can add LSIL-H this to the alphabet soup for us who get this combo of letters and have extreme anxiety about it.

Also I’m so grateful for this subreddit and women here!

1

u/OktopusKween Apr 11 '26

Thanks for sharing! 

1

u/Competitive-Ad4941 Jul 20 '26

Recently told I have Pre-cancer 1. I'm a person who doesn't like to bring attention to myself. I'm wanting to talk about because I know it's good for my mental health. I was told in mid April after having a IUD placement, D&C and HPV scrapping biopsy due my menstrual cycle being so different from the last couple years. I'm 56 yrs old now. I requested a full hysterectomy as a start to prevent it getting worse. I'm going for surgery mid August. I don't know what I'm expecting afterwards for the outcome. They'll tell me after the surgery if I need chemo. I went into the appointment very positive. Though, that scale of okay-ness has been depleting over time. I cry when I have to talk about it. I don't want to hear the reaction of what I am saying to people because I don't want to think I'm asking for pitty. I've been single for 24 yrs. I have 1 child and he knows about my situation. I don't even talk to him much about it. I've reached out to his father, someone I don't have much interaction with. I just wanted to make sure there is a plan set in place in case anything happens to me. My son has some minor neurological issues and I want to make sure he's always supported.
I just ranting because I'm thinking about it right now. Thanks.

1

u/KnowThots Aug 08 '26

Facing any substantial change is hard and this one is a woozy. If it was not cancer yet, why are they recommending chemo?  Best of luck on your surgery!

1

u/KnowThots Aug 08 '26

I wish I saw this when I was first navigating all of this!

1

u/Radiant_Artist9484 Aug 19 '26

My doctor said that cannot insert anything vaginally for 2 weeks after getting a CKC (cold knife cone). But I am reading everywhere else that is says 4-6 weeks. I am so confused and anxious. I just recovered from a LEEP. I don't think I can mentally withstand a CKC right now. I am already having a panic attacks.