What a Cervical Intraepithelial Neoplasia Diagnosis Approaches

December 15, 2018

A diagnosis of cervical intraepithelial neoplasia, or cervical neoplasia, refers to a particular kind of changes in the cervix. These modifications may or might not be precursors to cervical cancer. In fact, a cervical neoplasia analysis can refer to a wide variety of modifications to the cervix. These changes can vary from self-resolving mild to moderate cervical dysplasia all the way into the first stages of lung cancer.

Defining Cervical Intraepithelial Neoplasia

The cervical in cervical intraepithelial neoplasia has a clear meaning. It pertains to the uterine cervix. To understand what a cervical intraepithelial neoplasia isalso, it will help to understand the other terms too. Intraepithelial means”inside the epithelium.” The muscle structure of the cervix is coated with layers of several kinds of epithelial cells. It is these cells that are influenced by cervical intrapithelial neoplasia. Neoplasia literally means”new growth.” But, it’s ordinarily used to refer to abnormal or uncontrolled cell growth. Therefore, cervical intraepithelial neoplasia is abnormal cell growth within the layers of epithelial cells which cover the cervix.

Grading Cervical Neoplasias

Cervical neoplasias are characterized by biopsy and rated according to their severity. Severity is rated as follows:

  • Cervical Intraepithelial Neoplasia 1 (CIN I) – mild dysplasia
  • CIN II – moderate to moderate dysplasia
  • CIN III – severe dysplasia to cancer

People that are diagnosed with CIN I, or mild dysplasia, are generally not treated This type of cervical damage often heals itself without intervention. (This is the same as an LSIL diagnosis by Pap smear.) Instead, they are followed up more closely with their doctor.

That may contain more frequent Pap smears, HPV testing, or possibly colposcopy

By comparison, people with CIN II and CIN III are nearly always referred for treatment. (Included in these are HSIL, ASC-H, AGC, or carcinoma in situ Pap smear diagnoses.)  Treatment for moderate to severe cervical neoplasias entails removal of these lesions. This can be accomplished through cryotherapy, LEEP, or conization.

Even after treatment to remove the lesion, people with high cervical neoplasias remain at heightened risk of developing cervical cancer in the future. They are generally advised to keep on seeing their doctors for more regular followup.

Cervical Neoplasia or Squamous Intraepithelial Lesion?

When diagnosed with Pap smear, cervical dysplasias are usually known as squamous intracellular lesions (SIL) instead of cervical interepithelial neoplasias. The cervical neoplasia diagnsosis is allowed for identification by biopsy or colposcopy. This is because Pap smears provide the examiner with cells that are loose. In contrast, biopsies allow them to observe any peripheral damage in circumstance. This gives doctors the ability to perform a more accurate identification. Taking a look at the biopsy can reveal how deep into the cervix any lesions grow.

Does Cervical Neoplasia Mean Cancer?

Being diagnosed with a cervical neoplasia does not mean you have cancer. It does not mean that you are going to find cancer. What it will mean is that you are probably at an elevated chance of developing cancer at any stage in the future. That is very true if you are diagnosed with CIN II or CIN III.

Your absolute cancer risk is still low after a CIN II or III diagnosis. However, your health care provider will probably recommend regular follow-up. Which will make sure she is able to grab it early if cancer does develop. Early identification and treatment is a vital step in limiting mortality from cervical cancer.