What is high grade squamous intraepithelial lesion CIN 2?

HSIL ~ High-grade squamous intraepithelial lesion
This diagnosis means the cells appear very different from normal cells. These precancerous lesions are more severe than with LSIL, but involve cells on the surface of the cervix. They may also be called moderate or severe dysplasia, or CIN 2 or 3.
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Is high-grade squamous intraepithelial lesion serious?

If not treated, these abnormal cells may become cancer and spread into nearby tissue. A high-grade squamous intraepithelial lesion is sometimes called moderate or severe dysplasia.
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How long does it take for CIN 2 to develop into cancer?

However, it is estimated that 5% of CIN 2 and 12% of CIN 3 cases will progress to invasive cancer if untreated. In general, it takes 10 to 20 years for CIN to progress to cancer, allowing a significant time period for detection and treatment. Progression from CIN to cancer requires persistent HPV infection.
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Is CIN 2 a cancer?

CIN 2 is not cancer, but may become cancer and spread to nearby normal tissue if not treated. Treatment for CIN 2 may include cryotherapy, laser therapy, loop electrosurgical procedure (LEEP), or cone biopsy to remove or destroy the abnormal tissue. CIN 2 is sometimes called high-grade or moderate dysplasia.
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What is squamous epithelial lesions CIN I II?

Squamous Intraepithelial Lesion (SIL) is the abnormal growth of squamous cells on the surface of the cervix. The cervix is the lower part of the uterus. Both the uterus and the cervix are located in the pelvis and are close to the upper part of the vagina and the ovaries.
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HSIL - High Grade Squamous Intraepithelial Lesion - Histopathology



Should I be worried about CIN 2?

CIN 2 means two-thirds of the thickness of the cervical surface layer is affected by abnormal cells. There is a higher risk the abnormal cells will develop into cervical cancer. You may be offered treatment to stop this happening, or another colposcopy.
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Can CIN 2 Go Away?

CIN 2 lesions often clear up on their own, but can also progress to CIN 3 lesions. CIN 3 is the most severe. It's a very slow-growing disease, though: fewer than half of CIN 3 lesions will have become cancer within 30 years.
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What type of HPV causes CIN 2?

About 95% of the CIN 2-3 and 92% of the cancer cases tested positive for the included HPV types. HPV 16 was the most frequent type followed by HPV 33, 31, 52, 35, 18, 58, 56, 39, 45, 59 in CIN 2-3 and by HPV 18, 33 45, 31, 39, 52, 35, 51, 56 in cancer.
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Is CIN 2 precancerous?

CIN – The outer surface of the cervix is composed of cells called squamous cells. A precancerous lesion affecting these cells is called CIN. These changes are categorized as being mild (CIN 1) or moderate to severe (CIN 2 or 3).
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What does CIN 2 stand for?

Moderate cervical lesions -- formally known as cervical intra-epithelial neoplasia grade 2 (CIN2) -- are abnormal cells on the surface of the cervix. CIN is notcervical cancer, but does have the potential to progress to cancer. However, in many cases these cells may also return to normal or remain unchanged.
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What are the stages of CIN?

Cervical intraepithelial neoplasia (CIN)
  • CIN 1 – up to one third of the thickness of the lining covering the cervix has abnormal cells.
  • CIN 2 – between one third and two thirds of the skin covering the cervix has abnormal cells.
  • CIN 3 – the full thickness of the lining covering the cervix has abnormal cells.
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Does removing the cervix get rid of HPV?

Surgically treating genital warts doesn't cure a human papillomavirus (HPV) infection, however, and warts can return after surgery if the immune system does not eliminate the infection. Surgery may be used to treat moderate to severe cervical dysplasia by removing abnormal cells on the cervix.
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How long do you have to live if you have cervical cancer?

Survival for all stages of cervical cancer

more than 60 out of every 100 (more than 60%) will survive their cancer for 5 years or more after diagnosis. more than 50 women out of every 100 (more than 50%) will survive their cancer for 10 years or more after diagnosis.
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What is the treatment for high-grade squamous intraepithelial lesion?

Laser treatment: A powerful laser uses light to burn away abnormal tissue. Excisional surgery: Your healthcare provider may recommend cutting the abnormal tissue out of your body. For cervical dysplasia, you may need a loop electrosurgical excision procedure (LEEP) or a cold knife cone (CKC) excision.
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How fast does HSIL turn cancerous?

HSIL doesn't always progress into cancer, but it is capable of it. In some cases, it might take as long as 10 years or more; in other cases, it could happen much more quickly. But with proper diagnosis and management, HSIL does not have to develop into cancer at all.
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What are the symptoms of HPV in females?

HPV can infect cells in the vagina and around the vulva. If a female has low risk HPV, they may see warts on the vulva. These warts may present as: a cluster that looks like a cauliflower.
...
Some symptoms of vaginal cancer include :
  • bleeding after sex.
  • unusual discharge.
  • a lump in the vagina.
  • pain while having sex.
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Should I get a hysterectomy if I have precancerous cells?

If the precancerous disease is more extensive or involves adenocarcinoma in situ (AIS), and the woman has completed childbearing, a total hysterectomy may be recommended. During a total hysterectomy, the entire uterus (including the cervix) is removed.
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Do you need a hysterectomy if you have HPV?

Hysterectomy is commonly requested by patients upon learning of cervical dysplasia, particularly if they have chronic human papillomavirus (HPV) infection and have experienced years of frequent surveillance and interventions.
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Is LEEP procedure painful?

How painful is the LEEP procedure? You may feel a small pinch or a sensation like a bee sting when your provider injects the lidocaine into your cervix. Or, you may not feel any sensation at all. You may feel internal pressure or slight discomfort when the cells are being removed.
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Is CIN contagious?

No, CIN is not contagious. It cannot be passed on to other people. How did I get HPV? People can become infected with HPV by having vaginal, anal, or oral sex with someone who has the virus.
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Do I need a colposcopy if I have HPV?

If you test positive for HPV 16/18, you will need to have a colposcopy. If you test positive for HPV (but did not have genotyping performed or had genotyping and tested negative for 16/18), you will likely have a colposcopy.
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How serious are precancerous cells?

Often, precancerous lesions are not invasive and a person will not develop cancer. In some cases these precancerous cells, if left alone, may go on to become “invasive” cancer cells. Sometimes, it may take these cells a few years, or even decades to progress.
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How long does it take for CIN 2 to go away?

In a meta-analysis of 36 studies (both randomized trials and observational studies) including 3160 patients with CIN 2, at 24 months, lesions regressed in 50 percent of patients, persisted in 32 percent, and progressed to CIN 3+ in 18 percent [14].
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How long does it take for CIN 2 to regress?

Conclusion: CIN2 lesions regress without treatment in one year, although an ablative procedure is more effective.
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Does CIN 2 come back?

Women treated for CIN2 or CIN3 retain an elevated risk of recurrence or even invasive cancer for years following treatment (2, 3). Thus, heightened surveillance has been the rule, with uncertainty as to whether (and when) a return to normal screening intervals can be safely permitted.
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