Four methods can be used to find three kinds of food during the treatment of cervical intraepithelial neoplasia

Cervical intraepithelial neoplasia is an important disease, and it also requires our full attention. After discovering abnormalities, it must be immediately examined and treated reasonably based on our own condition.

Classification of cervical intraepithelial tumors

1. Mild atypical proliferation (or grade I): Cells with mild dysplasia and abnormal proliferation are limited to the lower one-third of the epithelial layer, while the middle and surface layer cells are normal.

2. Moderate atypical hyperplasia (or grade II): Cell dysplasia is evident, with abnormally proliferative cells limited to the lower two-thirds of the epithelial layer and unrelated to the surface layer.

3. Severe atypical hyperplasia (or grade III): Cells with significantly abnormal cell proliferation account for more than two-thirds or all layers of the epithelium.

Symptoms of cervical intraepithelial neoplasia

Cervical squamous intraepithelial neoplasia has no special symptoms. Occasionally, there is an increase in vaginal discharge with or without a foul odor. There may also be contact bleeding, which occurs after sexual activity or gynecological examination (double or triple examination). Lesions with obvious physical signs, smooth cervix, local erythema, white epithelium, and cervical erosion.

Cervical intraepithelial neoplasia examination

1. Cervical cytology examination: Cervical cytology examination is the simplest auxiliary examination method for cervical intraepithelial neoplasia, which can detect early onset lesions. When abnormal cells are found during the examination, Colposcopy should be performed to further clarify the diagnosis.

2. HPV examination: High risk HPVDNA screening can be used as an abnormal diversion for cervical cytology examination, residual lesions, recurrence determination, efficacy evaluation, and follow-up after treatment of cervical lesions.

3. Colposcopy examination: the vascular condition of the lesion area can be known. If the Colposcopy can not understand the pathological changes of the cervical tube, the tissue in the cervical tube should be scraped or the material should be taken from the cervical tube brush for pathological examination. Colposcopy may also miss important lesions. If CIN2 or CIN3 is not found, active follow-up should be carried out.

4. Cervical biopsy: Cervical biopsy is the most reliable method for diagnosing cervical intraepithelial tumors. Any visible lesion requires single or multiple point biopsy. If there is no obvious disease furnace, you can choose the biopsy designated by the cervical transitional zone, or interview materials in the non staining area of iodine test under the guidance of Colposcopy to improve the diagnostic rate.

Treatment of cervical intraepithelial tumors

1. CIN1: 60% -85% CIN1 naturally disappears, and currently CIN1 treatment is conservative.

If the previous cytological results were CIN1 for ASC-US, ASC-H, or LSIL, it is recommended to check HPVDNA every 12 months or cervical cytology every 6-12 months. If the previous cytological result is HSIL and the histological diagnosis is CIN1, if the Colposcopy examination is satisfactory and the cervical tube sampling is negative, the patient can choose to perform diagnostic resection, or Colposcopy examination and cytological examination can be performed every 6 months for observation.