Patient's question:
Medical history: There has been a lot of leukorrhea. It was diagnosed as CIN3 at Peking University Hospital. Previous treatment and effectiveness: Undergone LEEP surgery, but the pathology report showed that the 12 o'clock and 1 o'clock margins of the cervix still had CIN3. The doctor said it was too close to the bladder and it was difficult to cut. What help do you want: I am only 26 years old and have not had children. What should I do?Doctor's answer:
CIN refers to cervical intraepithelial neoplasia, which is divided into three grades:Grade I: Approximately 30% may progress to cervical invasive cancer, requiring the removal of visible lesions. For small, localized lesions, cryotherapy can be used. For larger lesions or those involving glandular tissue, laser treatment may be employed. In cases with no obvious lesions, treatment can be managed as inflammation, followed by regular follow-ups. Repeat cervical scraping after 2-3 months, with biopsy if necessary.
Grade II: Cryotherapy can be used, with an efficacy rate of about 92%-94%, or a cone biopsy of the cervix may be performed.
Grade III: Women who do not wish to have children may undergo a total hysterectomy. Young women who wish to have children may consider a cone biopsy of the cervix, followed by close follow-up after the procedure.