What are the treatment methods for cervical cancer lesions?

  Treatment of cervical lesions: standardization and individualization The degree of cervical lesions varies, the patient’s condition is different, while there are various treatment tools. Therefore, the treatment of cervical lesions should pay attention to the following two points: First, the principles of treatment should be clarified according to the level of cervical intraepithelial neoplasia, so that the treatment can be standardized. Second, the patient’s age, marital status, the degree, scope and level of lesions, as well as follow-up, technical conditions and other comprehensive consideration, to individualize.  1, in patients with CINI, 65% of the lesions can subside on their own; 20% of the lesions persist and remain unchanged; only 15% of the lesions progress, but also we can not predict the 15% of patients at present. Therefore, physical therapy may be given to those with CINI. In fact, if the patient is willing, with follow-up conditions, they are allowed to have regular examinations and close monitoring.  2, CINII should be treated with physiotherapy, such as freezing, electrocoagulation, laser, etc. They each have their advantages and disadvantages, but there is no significant difference in effectiveness. Their common drawback is that they all cannot preserve tissue specimens. Circumferential cervical electrodesis can also be used for the treatment of CINII with the same effect as before, but the tissue specimens can be preserved for pathological examination and a small proportion of undetected cervical carcinoma in situ and microinfiltrating carcinoma will not be missed.  3. 45% of CINIII (65% have been reported) develop into CIS or exist in combination. CINIII itself includes severe atypical hyperplasia and carcinoma in situ, so conization should be performed, which can also exclude invasive carcinoma. LEEP is only suitable for severe atypical hyperplasia, but not for carcinoma in situ.  4.After any level of CIN and any means of treatment, cytological follow-up should be performed, and the future follow-up plan should be determined by the first review 3-6 months after surgery.  5.CIN during pregnancy, 75% can be regressed within six months after delivery, so conservative observation is more preferable.