What should we do when we have cervical precancerous lesions? How should we treat cervical precancerous lesions?

Since we started school, we have learned a phrase "specific analysis of specific cases". For diseases, specific treatment plans are formulated according to different situations. How to specifically treat cervical precancerous lesions when they occur?

Once cervical precancerous lesions are diagnosed, they must be taken more seriously. But at the same time, we should also be careful not to be too nervous, and should "strategically despise and tactically attach importance to them", check and treat them immediately, and do a good job of reexamination and prevention to control them well.

In clinical practice, we often see patients with precancerous pathology reports who worry and can't sleep at night, thinking they have cancer. In fact, there are three types of cervical precancerous lesions: natural regression (or reversal), persistence (or lesion stability), and progression (or cancer). The risk of progression of cervical precancerous lesions of grades I, II, and III is 15%, 30%, and 45%, respectively.

The risk of cervical cancer in patients with cervical precancerous lesions I, II, and III is 4 times, 14 times, 5 times, and 46 times higher than normal. Therefore, attention should be paid to the above levels for II, as well as the related factors of medium and high risk transfer. HPV infection is the main factor for cervical cancer. The risk of cervical lesion progression in patients with high-risk HPV infection and persistent infection is 6.46 times that of low-risk.

The relative risk of cervical cancer is 250 times that of normal women. Patients with cervical precancerous lesions I and HPV negative have a lower chance of developing cancer, and two-thirds of cases can regress naturally. According to observations, the natural evolution of cervical precancerous lesions to cancer usually takes about 10 years. It does not necessarily progress step by step, and the time may be shortened. However, with age, the reversal rate of cervical precancerous lesions gradually decreases, especially for those who are HPV positive, and they should be checked and treated immediately.

Currently, people with cervical precancer lesions I and negative HPV infection can be observed for 6 to 12 months and undergo TCT (membrane-based ultra-thin cytology test) and physical treatment; people with cervical precancer lesions I with positive HPV and cervical precancer lesions II can undergo LEEp knife circumcision; people with cervical precancer lesions III need to be hospitalized for cone biopsy, and the cone biopsy specimen will be sent to pathology, and the next step of treatment will be based on the pathological diagnosis.