Hello What Does This Mean And What Is The Treatment

Posted on Wed, 14 Oct 2020

Question: hello what does this mean and what is the treatment A) CERVIX, 6:00, BIOPSY - HIGH-GRADE SQUAMOUS INTRAEPITHELIAL LESION (CIN III). SEE COMMENT. B) ENDOCERVIX, CURETTAGE - FRAGMENTS OF BENIGN SQUAMOUS AND ENDOCERVICAL GLANDULAR EPITHELIUM. COMMENT: A p16 immunostain performed on part A shows block positivity consistent with the above diagnosis.

Answered by Dr. Sameer Kumar (1 hour later)

Brief Answer:
HSIL / CERVICAL CANCER.

Detailed Answer:
Hello,
Thanks for the query,
the report indicates that you have a high grade squamous lesion or HSIL, which is a cervical intraepithelial neoplasia 3 grade. This would call for a total hysterectomy as treatment .
Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Sameer Kumar (27 minutes later)

so does that mean I have cancer?

Answered by Dr. Sameer Kumar (25 minutes later)

Brief Answer:
follow up

Detailed Answer:
Hello,
This is an early stage , in development cervical cancer of CIN 3 stage with HIGH GRADE SQUAMOUS INTRAEPITHELIAL LESION which can soon progress to stage 1 if left unattended.
Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Sameer Kumar (41 minutes later)

is their any other treatment options?

Answered by Dr. Sameer Kumar (3 hours later)

Brief Answer:
follow up

Detailed Answer:
Hello,
IF you are above 35 and have completed your family , then this would be the best option for you, however a course of antibiotics for 2 weeks and then repeating pap smear again after 6 weeks would be an option.
Regards

Above answer was peer-reviewed by : Dr. Kampana

Answered by Dr. Sameer Kumar (8 hours later)

Brief Answer:
follow up.

Detailed Answer:
Hello,
If you are 27 , then you need to be given a course of antibiotics for 2 weeks along with probiotics with lactobacillus to control the inflammation and infection. Then a 3 monthly pap smear follow up would be required to check for changes in cervix, whether is has improved and become a low grade lesion ( LSIL).
If no improvement in next 2 follow ups then you would need to get a LLEETZ procedure or cryocauterization of the cervix to control the lesion or prevent further dysplasia of cells of cervix. Intercourse would have to be avoided to prevent frictional injury.
Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Sameer Kumar (12 minutes later)

Could you please explain this better? and treatment options for a 27 year old who hasn't had a family yet

Follow up: Dr. Sameer Kumar (51 minutes later)

okay so it's an infection not cancer

Answered by Dr. Sameer Kumar (21 hours later)

Brief Answer:
follow up

Detailed Answer:
Hello,
This is a pre cancerous lesion as on date but refrain can be opted against hysterectomy considering you are unmarried and not completed your fertility / family obligations. Hence a conservative option have been discussed for you.
Regards

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Above answer was peer-reviewed by : Dr. Nagamani Ng