Difference between revisions of "Squamous intraepithelial lesion of the uterine cervix"

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'''Squamous intraepithelial lesion of the uterine cervix''' is a precancerous lesion of the [[uterine cervix]].
'''Squamous intraepithelial lesion of the uterine cervix''' is a precancerous lesion of the [[uterine cervix]].


It is generally referred to as '''squamous intraepithelial lesion''', abbreviated '''SIL''', though this is somewhat ambiguous as other non-cervical sites are increasingly using the terminology.
It is generally referred to as '''squamous intraepithelial lesion''', abbreviated '''SIL''', though this is somewhat ambiguous as the terminology is being applied to other anatomical sites, e.g. [[vagina]].


In the past, it was known as '''cervical intraepithelial neoplasia''', abbreviated '''CIN'''.  Prior to that, it was known as '''cervical dysplasia'''.
In the past, it was known as '''cervical intraepithelial neoplasia''', abbreviated '''CIN'''.  Prior to that, it was known as '''cervical dysplasia'''.
This topic is dealt with from a cytology perspective in the ''[[gynecologic cytopathology]]'' article.


==General==
==General==
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===Treatment===
===Treatment===
Overview:
*[[LSIL]]: nothing, as usually regress.   
*[[LSIL]]: nothing, as usually regress.   
*[[HSIL]]: excision (e.g. cone, [[LEEP]], laser) + follow-up.
*[[HSIL]]: excision (e.g. cone, [[LEEP]], laser) + follow-up.


====Procedures====
[[Loop electrosurgical excision procedure]] (LEEP):
[[Loop electrosurgical excision procedure]] (LEEP):
*Used for squamous lesions -- pathologist typically gets several pieces.
*Used for squamous lesions -- pathologist typically gets several pieces.
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