HISL。

细胞学检查不报CIN。

细胞学检查更不能报CIN1-2。

建议分点活检进一步诊断。

 HSIL.

I usually don't report CIN 1-2, very confusing to clinicians: is this low grade or high grade?  I quess confusing to pathologists too.  Then clinicians don't know what to do.  for CIN 1, they could follow up with pap smears; for CIN 2, they may do LEEP.

Once again, CIN is not a concept for pap smear, it is a terminology for tissue biopsy and LEEP. 

For this patient, if biopsy shows CIN 1 only, i would suggest repeat colposcopy and re-biopsy.  It could be sample error (biopsy was done not at the worst area).

 HSIL。

第2、4图，可疑鳞癌。