Moderate Dysplasia (Colposcopy)
Moderate Dysplasia
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Moderate dysplasia means the skin of the cervix is growing
moderately faster than
it should and has progressed beyond the mild stage. A biopsy of the cervix shows
immature basal cells growing partway through to the surface of the skin, without
significant maturation.
Moderate dysplasia is important because there is a much greater risk
that these changes will advance, if untreated, into invasive
cervical cancer. For that reason, moderate dysplasia is known as a "high
grade" lesion, or "high grade squamous intra-epithelial lesion"
(HGSIL). Another synonym for this condition is "CIN II" (Cervical
Intra-epithelial Neoplasia Grade II).
Moderate dysplasia on a Pap smear usually indicates that further study
of the cervix with colposcopy is needed. If moderate dysplasia is confirmed, then it is
usually treated. Treatments might include cryosurgery, LEEP, or laser. Following
treatment, frequent Pap smears are usually obtained as follow-up to make sure that if
there is a recurrence (about 10% chance), that the recurrence is promptly diagnosed and
further treatment performed.
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