Cervical dysplasiaDefinition Cervical dysplasia is the abnormal growth of cells on the surface of the cervix. Although this is not cancer, this is considered a pre-cancerous condition. Depending on the extent of changes, the condition is further categorized as:
Causes, incidence, and risk factors Less than 5% of all Pap smear test results find cervical dysplasia. While the cause is unknown, a number of risk factors have been identified. Most cases occur in women aged 25 to 35. Other risk factors include:
Symptoms There are usually no symptoms. Signs and tests A pelvic examination is usually normal. The following tests may indicate cervical dysplasia:
Treatment The treatment depends on the degree of dysplasia. Mild dysplasia, which may go away on its own, usually involves careful observation with repeat Pap smears every 3 to 6 months. Other forms may require methods to destroy the abnormal tissue, including electrocauterization, cryosurgery, laser vaporization, or surgical removal. Consistent follow-up, every 3 to 6 months or as prescribed, is essential. Expectations (prognosis) Nearly all cervical dysplasia can be cured with early identification, proper evaluation and treatment, and careful, consistent follow-up. Without treatment, 30-50% cases of cervical dysplasia may progress to invasive cancer. The risk of cancer is higher for severe dysplasia (CIN III) that is not treated. Complications The condition may return. Calling your health care provider Call for an appointment with your health care provider if you are a woman who is sexually active or aged 20 or older, and you have never had a pelvic examination and Pap smear. Call for an appointment with your health care provider if you have not had regular Pap smears at these intervals:
Prevention To reduce the chance of developing cervical dysplasia:
Illustrations
Page Content: Cervical intraepithelial neoplasia (CIN); Precancerous changes of the cervix |