Celiac disease, currently referred to as cervical columnar epithelial ectasia, can be physiologic or pathologic. There is no correlation between physiologic cervical columnar ectasia and cervical cancer; there is no specific data on how long it takes for pathologic changes to develop into cancer, as they are influenced by a variety of factors.
In physiologic columnar epithelial ectasia, due to the thinness of the columnar epithelium, the mesenchyme underneath it transmits and becomes reddish color visible to the naked eye, which resembles “erosive changes”. Physiologic columnar epithelial ectasia of the uterine cervix, squamous intraepithelial lesions of the uterine cervix, and early stage cervical cancer can be manifested as cervical erosion-like changes. There is no correlation between physiologic cervical columnar epithelial ectasia and cervical cancer.
Pathologic changes, such as squamous intraepithelial lesions of the cervix and cervical cancer, are most often associated with human papillomavirus (HPV) infection, multiple sexual partners, early sexual intercourse, sexually transmitted diseases, low economic status, and immunosuppression.
Therefore, for those with severe cervical erosion-like changes, cervical cytology and/or HPV testing, colposcopy and biopsy to rule out cervical squamous intraepithelial lesions or cervical cancer are recommended. Consultation with a medical professional is recommended for specific cases.