又学习了许多新知识。 
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- 19岁的液基（加活检图片）
it is a very solid CIN1 in in histology and typical LSIL in Pap. Of cause HPV infection related.
I mentioned above if young women have LSIL, repeat Pap 12 month.
For women older than 20 year and no preganancy:
Women have LSIL Pap, Colposcopy examination should be done. If no CIN 2/3 (including negative and CIN1 or unsatisfactory colposcopy) identified in biopsy, Pap test at 6 and 12 months, or HPV testing at 12 month.
If CIN 2/3 is identified in biopsy, then cone/Leep biopsy.
But please remember that
Guidelines should never substitute for clinical judgment in the management of an individual patient.
–Guidelines cannot apply to all clinical situations.
–Judgment should be used in applying guidelines to individual situations.
Judgment should be used in applying guidelines to individual situations.
As physicians, especially for patients' primary doctors or gynecologists, they should explain the choices of treatments to patients. Patients can make the final decision.
| 以下是引用月新在2008-12-10 22:09:00的发言：
感觉是HPV感染伴CIN，现在的问题是这样一个19岁的年青女子，如何处理？ 是随访，还是做锥切？ |
Follow-up even for the women more than 20 y.
Rare women younger than 20 had cervical squamous cell carcinoma. It is terrible to do leep or cone biopsy for this young age women with CIN 1. In fact it is not necessary to do cervical biopsy.
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本帖最后由 于 2008-12-11 20:33:00 编辑
it is a very solid CIN
I mentioned above if young women have LSIL, repeat Pap 12 month.我上述也提到过，如果年青女士低于19岁，有LSIL请12个月后复查，
For women older than 20 year and no preganancy:Women have LSIL Pap, Colposcopy examination should be done. 20岁以上没有怀孕的女士宫颈涂片为LSIL，应该做阴道镜检查，
If no CIN 2/3 (including negative and CIN1 or unsatisfactory colposcopy) identified in biopsy, Pap test at 6 and 12 months, or HPV testing at 12 month.如果活检没有CIN2/3，包括宫颈活检阴性，CIN1或者宫颈活检不理想者，应当在6-12个月后再做宫颈涂片，或者在6-12个月做HPV检查。
If CIN 2/3 is identified in biopsy, then cone/Leep biopsy.如果宫颈活检是CIN 2/3,应当做锥切或LEEP刀。
But please remember that
Guidelines should never substitute for clinical judgment in the management of an individual patient. 请注意，这些理论不能替代实际每个病人的特殊性，不能代替临床判断。
– Guidelines cannot apply to all clinical situations. 这些理论并不能适合所以有的患者，每个人都是不同的个体。
– Judgment should be used in applying guidelines to individual situations.处理每个人都应该适合她自已，
Judgment should be used in applying guidelines to individual situations.
As physicians, especially for patients' primary doctors or gynecologists, they should explain the choices of treatments to patients. Patients can make the final decision.患者的经治医生应该给病人解释，并且帮助病人选择治疗方案。最后结论由病人自已定。
| 以下是引用cqzhao在2008-12-11 13:10:00的发言：
Follow-up even for the women more than 20 y.该患者应当随访到20岁， Rare women younger than 20 had cervical squamous cell carcinoma. 20岁以下的宫颈癌是非常罕见的。It is terrible to do leep or cone biopsy for this young age women with CIN 1. 象这种年青女士有CIN 1做锥切或LEEP刀是非常可怕的。In fact it is not necessary to do cervical biopsy.事实上根本没有必要做宫颈活检。 |
