How to treat cervical epithelial neoplasia

How to treat cervical epithelial neoplasia

Cervical epithelioma is a common cervical disease. If cervical epithelial tumor becomes grade one, I believe many friends will be very worried. So how to treat cervical epithelial tumor if it becomes grade one? Next, this article will introduce you to the relevant content on how to treat grade one cervical epithelial neoplasia. Friends who want to know more about this knowledge can continue reading!

Cervical epithelial neoplasia grade 1 (CIN1) is a histologically low-grade (mild) cervical precancerous lesion. 50% of them can return to normal naturally, and the other 50% will progress to high-grade (severe) cervical precancerous lesions, namely CIN2 and CIN3. If you have a colposcopic biopsy and are diagnosed with CIN1, how do you deal with cervical epithelial neoplasia of the first degree?

1. First, you need to know the results of your TCT report

The results of TCT are quite complex, but we can simply divide them into three categories.

1. Generally normal: including reports as normal, no malignant cells, benign reactive changes, or inflammation.

2. Low-grade cytological lesions: including atypical squamous cells of undetermined significance (ASCUS), atypical squamous cells tending to be high-grade lesions (ASC-H), and low-grade squamous lesions (LSIL).

3. High-grade cytological lesions: high-grade squamous cell lesion (HSIL), squamous cell carcinoma (SCC), adenocarcinoma, etc.

2. Then, you need to know whether the colposcopy examination is satisfactory

1. Satisfactory, that is, the junction of the columnar epithelium and the squamous epithelium of the cervix (called the transitional zone, which is the most likely site for cervical precancerous lesions to occur) was seen by the examining doctor, and a living tissue was taken from this site for pathological examination. Then we can assume that there will be no lesions on the cervix that are more serious than CIN1.

2. Dissatisfaction: This means that the doctor cannot see the aforementioned transitional zone for various reasons and does not take biopsies at these locations. In this case, we have to suspect that the biopsy site may not be the most severe site of the lesion. In other words, there may be more severe lesions on the cervix than CIN1.

3. Finally, understand the advantages and disadvantages of the treatment methods for cervical lesions (CIN)

1. Follow-up observation actually means no treatment but regular check-ups.

2. Physical therapy: Burning and destroying the affected cervical tissue, including cervical freezing, laser, electrocautery, radio frequency, cryotherapy, etc. The advantage is that the operation is simple and can be done in an outpatient clinic. The disadvantage is that tissue specimens cannot be obtained. It's burned, and nothing can be seen anymore.

3. Surgical treatment: Cone-shaped removal of a portion of cervical tissue, referred to as cervical conization. Its advantage is that it can provide specimens for further examination to detect possible more serious lesions. Its disadvantage is that it is slightly more traumatic and requires hospitalization.

The above is an introduction on how to treat grade one cervical epithelial neoplasia. I believe that after reading the above introduction, everyone will know how to treat the condition of cervical epithelial neoplasia at grade one. In fact, if cervical epithelial neoplasia becomes grade one, it needs to be treated according to different situations. As for the specific treatment, it needs to be combined with other examinations to determine the specific treatment plan.

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