TCT examination showed atypical squamous cells

When it comes to TCT examination, female friends should be familiar with it. Now women have added this item to their physical examinations. Because of the high incidence of cervical cancer, many women cannot escape it, so regular examinations are very important. TCT atypical squamous cells are in a range between normal and cancer. It cannot determine whether the disease has occurred, but it indicates that the risk of cervical cancer is very high. People in this category should pay special attention, go for regular check-ups on time, and take measures in advance to deal with it.

What does atypical squamous cells mean on TCT?

If the TCT test results show atypical squamous cells, it means that you are at risk of cervical cancer. Atypical squamous epithelial cells of unclear significance do not belong to cervical intraepithelial neoplasia (cervical precancerous lesions) but are chronic inflammation, so there is no need to worry. Depending on the degree of cervical erosion, local drug treatment is chosen for mild cases; physical therapy is effective for moderate and severe cases. Focus on the precautions after treatment: After cervical physical therapy, a large amount of vaginal secretions often appear due to the healing and repair reaction of the wound. At this time, the patient should keep the vulva clean and wash the vulva frequently.

What is atypical squamous cell tct?

Atypical squamous epithelial cells refer to morphologically abnormal squamous epithelial cells whose morphological characteristics and pathological nature cannot be confirmed. Such patients should be re-examined. Avoid sexual intercourse and vaginal treatment before follow-up. Whether there is a malignant lesion can be determined by further cervical biopsy.

Because it is a precancerous lesion, it must be closely observed. The change from precancerous lesions to invasive cancer is generally very slow, taking about 8-10 years or even 20 years. In the precancerous stage, abnormal cells do not invade the stroma, let alone metastasize. If they are discovered at this time and given appropriate treatment, the chance of cure is very high. However, after cervical cancer has become invasive cancer, it usually develops very quickly. If left untreated, the patient may die within 2-5 years. Atypical hyperplasia can be divided into mild, moderate and severe. If left untreated, about 10-15% of mild and moderate atypical hyperplasia can develop into invasive cancer, and about 75% of severe atypical hyperplasia and carcinoma in situ can develop into invasive cancer.

Atypical squamous cells of the cervix are a critical state between normal and precancerous lesions. It mainly refers to the fact that the squamous cells on the surface of the cervix undergo some atypical changes in morphology and arrangement under the influence of many physical and chemical factors. In clinical practice, more than 90% of cervical atypical squamous cells are caused by inflammation, and only a small proportion of them are actually combined with cervical precancerous lesions. Treatment may include vaginal medication or observation, with follow-up examination after 2-3 months. If atypical squamous cells recur, a colposcopy biopsy is recommended to confirm the diagnosis.

Importance of TCT examination:

Currently, cervical cancer is still a major killer of women's health. Its incidence rate ranks second among female malignant tumors, second only to breast cancer. According to statistics in 2000, there are approximately 500,000 new cases of cervical cancer worldwide each year, with more than 130,000 new cases in China, accounting for approximately a quarter of the world's new cases.

About 20,000 to 30,000 people die from cervical cancer every year, and the number is increasing and getting younger. Experts remind women that if they experience symptoms such as abnormal vaginal discharge, lumbar pain or lower abdominal distension, they must pay attention, because these symptoms may mean that your cervical health is flashing a "red light". However, the specific situation still requires advanced and standardized testing to determine whether there is a problem, so regular TCT inspections are particularly important.

The healing process of cervical erosion is generally divided into two forms. One is that the squamous epithelium near the erosion surface grows under the columnar epithelium covering the erosion surface, gradually pushing the columnar epithelium, and finally completely replacing the columnar epithelium to cover the entire erosion surface. This is a form of direct coverage by squamous epithelium; the other form is indirect replacement.

Under normal circumstances, there is a small number of round cells under the columnar epithelium, called reserve cells. These cells have a certain ability to proliferate and differentiate. These reserve cells continue to proliferate and differentiate into squamous epithelial cells, replacing columnar epithelial cells to cover the entire erosion surface, allowing the erosion surface to be re-covered by squamous epithelium and heal.

During the healing process, the newly formed squamous epithelium is often scattered in flakes or runs in cords on the eroded surface. Because this new squamous epithelium grows on tissue with inflammatory changes, it is very easy to fall off. Once stimulated, erosion will reappear. The repeated occurrence of repair and shedding is the reason why erosion is difficult to heal.

Tct examination has the following eight results:

1. Gynecological inflammation

This means that the human cervix is ​​a bacterial environment. When the environment changes, it affects the cervical cells and causes abnormal changes. In most cases, this is normal. The next step for the doctor is to relieve the symptoms of inflammation, usually based on the severity of the inflammation.

2. Fungal, Trichomonas, and Herpes Virus Infections

Fungal, Trichomonas, and herpes virus infections are multiple infectious diseases. The next step the doctor takes is usually to provide appropriate treatment based on the type of microbial infection to relieve symptoms.

3. HPV infection, human papillomavirus infection

This means an infection caused by a virus for which there is no effective treatment, but the body's own immune system may be able to eliminate the virus. The next step for your doctor is to perform TCT tests regularly.

4. ASC-H atypical squamous cells do not exclude high-grade squamous intraepithelial lesions

This means that there may be precancerous lesions, but the degree of abnormal cells is not enough for a definitive diagnosis. The next step your doctor will take is usually to recommend an immediate colposcopy to further confirm your condition.

5. Atypical squamous cells of undetermined significance (ASC-US)

This means that there are slight changes in the cervical cells, but not enough to reach the level of low-grade cervical lesions (LSIL). The next step for the doctor is to comprehensively consider the individual's past health conditions and usually recommend that you have your TCT checked every 3-6 months.

6. LSIL Low-grade squamous intraepithelial lesion

This means that some suspicious precancerous cells are found, but they are not cancer cells. Don't worry, some of the symptoms at this stage will disappear on their own. The next step your doctor will take is usually to recommend that you have a TCT test every 3-6 months, or to have a colposcopy immediately.

7. HSIL High-grade squamous intraepithelial lesion

This means that there are suspicious precancerous cells. If further diagnosis is not made and appropriate treatment is not taken, there is a high possibility that they will develop into cancer. The next step your doctor will take is to do an immediate colposcopy.

8. AGC atypical glandular cells

This means that some changes have occurred in the cells of the cervical canal, indicating that it is very likely to be a precancerous lesion. The next step your doctor will take is usually to recommend a colposcopy and remove tissue from the cervical canal to confirm the diagnosis.