Atypical squamous cells of the cervix of uncertain significance

In fact, for older female friends, they should go to the hospital regularly for cervical examinations, so that they can detect cervical diseases in time. Because severe cervical diseases may develop into cervical cancer, the cure rate of cervical cancer is relatively low, and it will pose a great risk to the life safety of female friends. So what does it mean if a woman is found to have atypical squamous cells in her cervix?

The atypical squamous cells suggested by TCT cannot be clearly defined. It refers to the presence of atypical squamous epithelial cells and glandular epithelial cells in the exfoliated epithelial cells of the cervix, referred to as AUC-US. It refers to squamous epithelial cells that can neither be diagnosed as infection, inflammation, reactive changes, nor as precancerous lesions and malignant changes, including atypical metaplastic cells, atypical repair cells, atypical squamous epithelial cells associated with atrophy, keratinized cells, and insufficient evidence for the diagnosis of HPV, but it cannot be ruled out. If AUC_US is reported in the TCT examination, a colposcopy is required. If the changes under colposcopy are related to inflammatory stimulation or reactive reactions such as placement of an intrauterine contraceptive device, a follow-up examination after 3-6 months is recommended. If colposcopy suggests the presence of precancerous lesions and malignant changes, a cervical tissue biopsy is required.

What to do with ASCUS?

Therefore, when faced with such a report, on the one hand, you don’t need to be nervous, because most of them are normal, and they are still far from the cervical cancer that everyone is worried about! But don’t let go of such a report easily. If you have not done HPV virus screening at the same time, it is recommended to do this test again. If the result is negative, you can get some treatment according to cervical inflammation. If you are infected with high-risk HPV types at the same time, especially if HPV types 16 or 18 are found, you should have a colposcopy immediately to rule out the presence of cervical precancerous lesions (CIN) or more serious cervical cancer.

What does SCC-H mean? What should I do?

However, there is a type of ASC-H (atypical squamous cells - high grade) that should be distinguished from simple ASCUS. Because once high-grade atypical cells are found, about 1/3 of the patients have already developed high-grade cervical precancerous lesions or even lurking cervical cancer. We must be vigilant when facing ASC-H and seize the time to diagnose and further treat it.