Cervical cancer is a type of gynecological cancer which is slowly progressing and in which cervical intraepithelial neoplasia can be detected before the onset of cancer. Cervical lesions, i.e. precancerous formations, usually emerge in the transformation zone and can be defined as the tissues which have not yet turned into cancer.
Cervical lesions also known as cervical intraepithelial neoplasia (CIN) can be classified as mild, moderate and severe. This classification enables to understand how high the risk of turning lesions into cancer. If lesions have a low depth of cervical tissue, the presence of mild dysplasia (CIN I – LSIL); in case of a moderate depth of cervical tissue, that of moderate dysplasia (CIN II – HSIL) and in case of 75% and more cervical tissue, that of severe dysplasia (CIN III – CIS) can be mentioned.
What Are The Symptoms of Cervical Lesion?
Changes in the cervical tissue, i.e. cervical lesions, are not yet cancer. Thus, women can be treated before developing lesions into cervical cancer with the treatments to be applied after the scans performed in time. Cervical lesion symptoms therefore should not be neglected and the importance of early diagnosis should not be ignored.
Cervical lesion symptoms do not occur if the lesion has a low depth of cervical tissue; the result of routine Smear scans determines its presence. However, cervical wound may lead to symptoms such as bleeding after sexual intercourse and condyloma (genital wart).
Diagnosis of Cervical Lesions
PAP Smear test is the first step for the diagnosis of cervical lesions. If PAP Smear test results indicate that cervical lesion may be present, further tests are performed. When determining the methods of examination, the age of the patient, whether or not to be in the menopausal period and to be pregnant are taken into consideration. Smear test can be re-applied to the person at this stage, HPV test is done, colposcopy is performed, cervical biopsy sample and also endometrial sample can be collected.
After all the tests, it is determined whether the person has cervical lesion and if any, the classification of the lesions is performed. Then, it is passed to the treatment process.
Treatment of Cervical Intraepithelial Neoplasia
Cervical lesion treatment is sometimes monitored with routine smear and colposcopy methods at CIN I and CIN II stages and any invasive treatment is not applied. Cauterization, cryotherapy, conization, laser or LEEP applications are sometimes performed.
We, as KADOMER, carry out the necessary tests for our patients determined to have cervical lesion as a result of smear scans, and evaluate the most appropriate treatment options for them. We provide our patients with the fact that cervical lesions are not cancer and the diagnosis of these lesions is the first step to prevent cervical cancer.