chrissie
Message 1 of 1
I will reply to some questions. CIN2 and 3 are sometimes grouped together as "HGSIL"- high grade squamous interepithelial lesion. If you are found to have HGSIL, you need to have it treated. About 50% of the time, it can progress to cancer over a period of years, or rarely, months. If they can pinpoint lesion via colposcopy, in most cases, a LEEP (outpatient, using a laser, cervix numbed locally, very few complications) can be done. If they cannot determine where the lesion is, or if a lesion biopsied does not match a verified pap, a cone surgery may be done. I have had one cone. I originally had a pap that indicated fullblown cancer. The biopsy from the cone indicated severe Cin 3 or carcinoma in situ - stage 0, before it turns to invasive cancer. The pap was reread by an expert pathologist (I immediately consulted a gynecologic oncologist), and it was determined that the pap was misread. But the surgery was still necessary since the lesion had endocervical (up further into the cervical canal) and glandular involvement. So it worked out fine. However, a follow-up pap at 6 mos post op showed HGSIL. Had a colposcopy with biopsies, but they were negative! The pap is being reread by the expert again. If he agrees it is HGSIL, I will need to have another cone surgery. this is because the colposcopic biopsies will have failed to locate the source of the HGSIL. Important to remember: Cytology (pap smear) should correlate with histology (either leep or cone biopsy sample). ASK YOUR DR if this is the case, and if the biopsy came out lower grade than the pap, GET A SECOND OPINION or have a good explanation (a reread on the pap)of why the pap showed worse. HGSIL is usually treated with leep or cone, so question any dr. who wants to do cryotherapy (is not as effective for high grade lesions). There is lots of info out there on the net... keep researching and good luck. C