Furthermore, if microinvasive disease is present, it may be impossible to allocate a sub-stage or define completeness of excision in fragmented excisional specimens. 3.Cervical Intraepithelial Neoplasia – Just so you know, we may earn a commission if you buy something weâ€™ve linked to here. Dont know if anyone can help put my mind at ease, im 24 almost 25, i had my first smear in oct '14 and biopsy in nov '14. A reflex cytology sample is processed to help inform colposcopy. Reproductive Outcomes after Local Treatment for Preinvasive Cervical Disease (Scientific Impact Paper No.21) cervical disease (cervical intraepithelial neoplasia [CIN]).The treatment for CIN is usually excisional with high success rates. They are likely to be followed up at 6 months with screening or in the colposcopy clinic. Objective: To study whether a treatment of cervical intraepithelial neoplasia (CIN) is associated with an adverse outcome in the subsequent pregnancies. All cases must be discussed by the MDT to ratify a decision for conservative management. They will only be discharged to 3 year recall if the cytology is downgraded to negative at MDT. All treatment must be recorded in the colposcopy database and patient notes. 2.Cervical Intraepithelial Neoplasia – therapy. Fell pregnant beginning 2008, had a gorgeous little boy and have fallen pregnant again in August 2010 due 27th May. I feel scared cause I haven't any dysplasia 1 year ago and also didn't have HPV. You may have: light bleeding for days or weeks; watery vaginal discharge Still, some women may be told to wait a number of years before trying to have a baby. For the fastest help on, More posts in "Abnormal Smear/Colposcopy Support Group" group, Create a post in "Abnormal Smear/Colposcopy Support Group" group, Breastfeeding: the trick to a comfy latch. The proportion of individuals treated at the first visit who have evidence of CIN2, CIN3, or CGIN on histology must be â¥90%. I ve had it done twice and I am now 17 weeks pregnant and managed to get pregnant with in 10 months of trying which is pretty normal. However the guidance below is provided for the sake of completeness and details the programme follow up recall requirements. As indicated in the revised criteria for colposcopic examination from the International Federation of Cervical Pathology and Colposcopy (IFCPC) nomenclature committee in 2011, data recording at the colposcopic examination must include: Care must be taken not to overlook invasive disease. Individuals can be offered conservative management of CIN2 if: Treatment must be offered if the CIN2 has not resolved within 24 months. The date for the next recall should be 6 months after their treatment. If the repeat sample is negative for hrHPV they should have repeat testing at 36 months. In older individuals (age 50 or over), or where the SCJ is not visible at colposcopy, a cylindrical biopsy should be taken that includes all of the visible TZ and 20mm to 25mm of the endocervical canal. i hadn't given it a 2nd thought to be honest. I actually ended up getting pregnant maybe a year later. The cervical screening programme continues to provide recall arrangements. Only files 8MB or smaller of the following types are supported: JPEG, PNG, GIF. Objectives . For the management of individuals with CGIN, see section 3.2 below. Individuals with a diagnosis of high grade CIN must receive treatment promptly. When excision is used, at least 80% of cases should have the specimen removed as a single sample. If the margins of an initial excision are not free from CGIN, a further attempt at excision should be offered in order to confidently exclude invasion and obtain negative margins. If conservative treatment for cervical cancer has been performed, leaving a residual cervix, follow up is recommended. For this reason, colposcopy is not recommended as further testing after a single HPV-positive, cytology-negative result. They should be counselled that the expected programme of management appears safe as long as follow up tests and appointments are attended. The risk of recurrence is highest during the first 2 years after treatment. There is no obviously superior conservative surgical technique for treating and eradicating CIN, however research from 1991 and 2015 suggests that ablative techniques are only suitable when: Only in exceptional circumstances should ablative treatment be considered for individuals over 50 years of age. CIN 3 is also known as carcinoma-in-situ. Excision is recommended (>95%): In the situations mentioned above, punch biopsies are not considered to be reliably informative. i ve never thougt to mention any to midwife and should I? In addition, individuals who have radical trachelectomy as part of conservative management of cervical cancer should remain under the care and guidance of their treating gynaecologist or gynaecological oncologist. And are their any risks? This product is displayed based on comments within this post. I remember my doctor saying to me when I went back to see her for a follow up smear 6 months later something along the lines of "having a nice fresh cervix for falling pregnant". 1.Cervical Intraepithelial Neoplasia – diagnosis. So far so good, I have regular 6 monthly smears and will continue through my pregnancy. If conservative management for Ia2/Ib1 disease was by simple or radical trachelectomy, follow up is determined by the management policy of the gynaecological oncologist. The PPV should be at least 75% for a CI of a high grade lesion (CIN2 or worse) for individuals referred with high grade cytology, and at least 35% for all other referrals. 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