Uterine CIN2-3 involving glands, suspicious early infiltration on biopsy

  Patient: Description of condition (onset, main symptoms, hospital visited, etc.): 45 years old, biopsy done the other day, results: Cervical 3,6,9,12 points CIN2-3 involved in glands, focal suspicious early infiltration. The cervical erosion for many years medication has not healed Want to get the best treatment plan with the help of experts.  Zhao Xiaofeng: According to your case, it is estimated that colposcopy has not been done. If available, you are advised to have an adequate colposcopic evaluation to see the extent of the lesion and to assess the severity.  For suspected early invasive carcinoma, cervical conization is generally recommended first. If the postoperative pathology is still diagnosed as early invasive carcinoma (stage Ia1), total hysterectomy alone can be performed, and the extent of vaginal resection is based on colposcopic assessment of the presence and extent of vaginal wall lesions. If the pathological diagnosis after conization is beyond the scope of early invasive cancer, extensive hysterectomy and lymph node dissection will be required.  I have done colposcopy, but it seems that there is no film, so the diagnosis may not be clear, sorry, I also want to ask you, from the pathology result of suspicious early infiltration I understand that the final result can be light or heavy, it can only depend on whether the doctor who sees the pathology is accurate or not, right? Cervical CIN2-3 involving glands, focal suspicious early infiltration Zhao Xiaofeng: It is difficult to say the biopsy result because it is related to the biopsy site and biopsy depth. Without colposcopic evaluation, the location of biopsy is often not reasonable. Anyway, it is necessary to do cervical conization, and the pathological results of conization can be more clear.