Illustration of How Cervical Cancer After the verdict |
Pre-cancerous conditions of the cervix (cervical dysplasia) is described using the term squamous intraepithelial lesion (SIL), which is usually assessed as follows :
- Low-grade (LSIL)
- High-grade (HSIL)
- Maybe cancerous (malignant)
When a Pap smear test result is not good, the doctor will usually recommend that HPV DNA testing done or biopsy to see signs of cervical cancer. Dysplasia seen in cervical biopsies using the term neoplacia cervical intraepithelial (CIN), and grouped into three categories:
- CIN I - mild dysplasia
- CIN II - moderate to marked dysplasia (marked displacia)
- CIN III - severe dysplasia to cervical pre-cancer
Cause of Cervical Pre-Cancer
Most cases of cervical dysplasia occur in women aged 25-35, although it can develop at any age. Almost all cases of cervical dysplasia or cervical cancer caused by HPV is transmitted through sexual contact. Things that can increase the risk of cervical dysplasia :
- Women who are sexually active before the age of 18 years
- Give birth before the age of 16 years
- Has a lot of sexual partners
- Using drugs that suppress the immune system (immunosuppressant)
- Smoke
Pre-Treatment of Cervical Cancer
Without treatment, 30-50% of cases of severe cervical dysplasia can become invasive cervical cancer. Risk of cervical cancer is lower for mild dysplasia. Treatment depends on the degree of dysplasia. Mild cervical dysplasia (LSIL or CIN I) may disappear by itself. You only need to repeat the Pap smear test every 3-6 months. If repeated for 2 years, treatment is usually recommended. Treatment for moderate to severe cervical dysplasia or cervical dysplasia recurring minor may include :
- Cryosurgery
- Electrocauterization
- Evaporation laser to destroy abnormal tissue
- Use electrocauter LEEP procedure to remove abnormal tissue
- Surgery to remove the abnormal tissue (cone biopsy)
Very rarely, hysterectomy (surgical removal of the uterus) is done. Women with cervical dysplasia should consistently follow-up, usually every 3 to 6 months as recommended by your doctor.
Pre-Cervical Cancer Prevention
HPV vaccination may be considered to prevent the occurrence of cervical pre-cancer. Girls who receive HPV vaccine before they become sexually active can reduce their risk of cervical cancer by 70%. In addition, to prevent cervical cancer, you should :
- Do not smoke
- Do a practice monogamy
- Use a condom during sexual intercourse
- Do not have sex, until at least the age of 18 years or more
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