A Closer Look at Severe Dysplasia and Treatment Paths
It’s crucial for individuals diagnosed with CIN 3 to work closely with their healthcare provider to determine the most appropriate treatment plan based on their specific circumstances and health history.
Neoplasia System
CIN1 – Cervical intraepithelial neoplasia Grade 3
Bestheda System
HSIL – High-grade squamous intraepithelial lesion
Severe cervical dysplasia CIN3 / HSIL
Cervical intraepithelial neoplasia grade 3 (CIN 3) is considered a high-grade cervical dysplasia, representing severe abnormalities in the cervical cells. CIN 3 is also referred to as carcinoma in situ, indicating that the abnormal cells are present and confined to the surface layer of the cervix.
Can cervical dysplasia be cured?
Yes. Removing or destroying the abnormal cells cures cervical dysplasia in about 90% of all cases. Cervical dysplasia rarely progresses to cancer. When it does progress, it does so very slowly, allowing time for your healthcare provider to intervene.
Treatments Stage 3
Cold knife conization
This surgical procedure removes the abnormal areas removing a cone-shaped piece of the cervix. The cone-shaped piece of tissue contains the abnormal cells. It was once the preferred method of treating cervical dysplasia, but now it’s reserved for more severe cases. Conization can provide a sample of tissue for further testing. It has a somewhat higher risk of complications, including cervical stenosis and postoperative bleeding.
CKC is performed with a scalpel, typically under general or regional anesthesia, and is conventionally believed to yield a larger specimen with less thermal damage to the margins compared to other excisional methods.
Surgical uterus removal
Hysterectomy involves removing your uterus. A hysterectomy may be an option in cases where cervical dysplasia persists or doesn’t improve after other procedures.
Fertility & Pregnacy Considerations
Treatment for CIN 3 may impact fertility, especially if a large portion of the cervix is removed. It’s important for individuals to discuss fertility concerns with their healthcare provider before undergoing treatment.
If the woman is pregnant, it is advisable to wait till the baby is born. If the condition is severe and the woman is not going to have children, removing the uterus is the course of action taken.