Patient's question:
During the health check, it was found that -- previously [no obvious symptoms] ultrasound revealed a 5.24.2 uterine fibroid -- [pathology report] accompanied by chronic inflammation of the cervix at 3 o'clock accompanied by mild atypical squamous cell hyperplasia [cIN1] -- chronic inflammation of the cervix at 9 o'clock -- and cervical polyps with glandular cystic expansion, limited squamous cell metaplasia, and non-atypical fibrosis I grade involving glands [cIN1]. The uterine fibroid has been present for two years and has been causing [pain during intercourse] for the past two years. The menstrual cycle has sometimes become irregular in terms of frequency and volume, but other aspects are normal. Previous treatment and outcomes: Three days ago, medication was used [Recombinant Human Interferon a2b Suppositories][Ofloxacin Suppositories]. Since December 1st, [Metronidazole Vaginal Suppositories] have been used. The doctor recommended a hysterectomy, but I am hesitant.Doctor's answer:
Based on the previous description, since the patient has uterine fibroids and mild non-atypical fibrosis of the cervical squamous epithelium (cIN1), the fibroids have benign inflammation, while the latter has the preliminary condition of pre-cancerous lesions. Considering the patient's age and related symptoms, it is possible to consider hysterectomy as a method to avoid the transformation of cervical cancer. Surgery can be considered. After the examination, it is necessary to regularly go to the hospital for follow-up checks.