How long depends on several factors: The type of cancer and stage. Individuals referred with borderline changes in endocervical cells with a negative colposcopic examination should not be given a 3 year recall but considered at MDT. Individuals with SMILE should be managed according to guidance for CGIN. The proportion of individuals treated at the first visit who have evidence of CIN2, CIN3, or CGIN on histology must be ≥90%. I feel scared cause I haven't any dysplasia 1 year ago and also didn't have HPV. ?glandular neoplasia and borderline changes in endocervical cells samples. So it was all fine in my case. 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. I had a few bleeds during my pregnancy, and was warned may need a stitch and to be prepared for early labour. An individual’s screening sample results must be available to the colposcopist before the colposcopic examination begins. Hi I had the treatment after my 1st baby I have 2 more children now and carried all of them to 38 weeks, I haven't had a problem, my cervix was opened to 4 cm from 36 weeks but the midwives weren't worried, hope that helps xxx, Thanks Landy. Individuals can be managed conservatively if, following excisional treatment, the margins of the excisional specimen are negative and invasion is excluded. Vault sampling is not part of the routine screening programme. Yes that helps. Fell pregnant beginning 2008, had a gorgeous little boy and have fallen pregnant again in August 2010 due 27th May. They decided on cold coagulation treatment as opposed to LLETZ which is apparently less invasive and causes less issues with furture pregnancy. If no colposcopic abnormality is present and re-excision is not appropriate, the individual should revert to 10 years of follow up with annual hrHPV testing. CIN 2/3: vault samples at 6 and 12 months followed by 9 annual vault samples follow up for incompletely excised CIN continues to 65 years or until 10 years after surgery (whichever is later) I actually ended up getting pregnant maybe a year later. :(having the treatment on friday :( been trying for a yr and half with no luck ... cin 2/3 positive margin in ectocervix after cone biopsy!! Excisional treatment is recommended for those wishing to retain fertility. For the management of individuals with CGIN, see section 3.2 below. The cervical screening programme continues to provide recall arrangements. Report samples as ?glandular neoplasia of endocervical type if they show cytological features suggestive of cervical glandular intraepithelial neoplasia (CGIN) or endocervical adenocarcinoma. And then after that, as long as the treatment has been successful, there’s no … Excisional techniques should remove tissue to a depth of 10 to 15mm in ≥95% of cases, depending on the position of the squamocolumnar junction within the endocervical canal. EXPERT COMMENTARY Newly updated consensus guidelines for posttreatment management of women with CIN 2,3 recommend human papillomavirus (HPV) testing at 6 to 12 months. There is no clear role for endocervical curettage in the assessment of ?glandular neoplasia of endocervical type therefore the programme does not recommend this. So far so good, I have regular 6 monthly smears and will continue through my pregnancy. Refer patients to gynaecology for further investigation. The nature and timing of follow up depends on their screening result, that is: The Cervex brush is approved for use in the cervical screening programme. Investigate and diagnose CGIN/stratified mucin producing intraepithelial lesion of the cervix (SMILE) through colposcopy and histopathological assessment of an excisional biopsy (including the endocervical canal) in order to distinguish between CGIN and invasive adenocarcinoma. It has made me feel as though I have to complete my family sooner rather than later though just incase things progress or it comes back  xx, I had a loop biopsy for mine back in July 2006. All treatment must be recorded in the colposcopy database and patient notes. Type of treatment Please flag if you think our product match is incorrect. CIN is cervical intraepithelial neoplasia. Women diagnosed with high-grade CIN during pregnancy can be reviewed at about 28 weeks gestation. How long it lasts depends partly on the type of treatment you've had. Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. hrHPV positive and negative cytology or low grade cytological abnormality (low grade dyskaryosis or less) and a low grade or negative colposcopic examination do not necessarily require colposcopic biopsy. CIN is divided into grades, which describe how far the abnormal cells have gone into the surface layer of the cervix. Treatment before hysterectomy . A reflex cytology sample is processed to help inform colposcopy. If colposcopically directed biopsy is reported as inadequate for histological interpretation, it should be repeated if there is a residual colposcopic lesion (≥95%). All cases of CGIN must be discussed at the colposcopy MDT meeting. When deciding on treatment (and especially if destructive methods are being considered), associated cytological and colposcopic findings are as important as the result of directed biopsy. The date for the next recall should be 6 months after their treatment. Microinvasive squamous cancer International Federation of Gynaecology and Obstetrics (FIGO) stage Ia1 can be managed by local excisional techniques if: If the invasive lesion is excised but CIN extends only to the deep lateral and endocervical excision margin, then a repeat excision should be performed to confirm complete excision of the CIN and to exclude further invasive disease. Studies were classified according to the treatment method used and the fertility or early pregnancy endpoint. Simple hysterectomy may be considered if: All individuals remain at risk following treatment and must be followed up 6 months after treatment according to screening guidance as given below. I have very recently found out I am pregnant and last year (March 2015) I had treatment for CIN 3 and had a large ... Read more on Netmums Responsibility for implementing follow up policies rests with the treating gynaecologist and will be informed by the local lead colposcopist. A TOC primary hrHPV sample should be taken 6 and 12 months after treatment, followed by annual sampling for the next 9 years before returning to routine recall (if still within the screening age range). Usually found in conjunction with CIN and they relate to how deep into the skin abnormal! Fallen pregnant again in August 2010 due 27th may subject to local audit returned community-based. Or clinic know that you are invited for your test, you should let your or. Depend on the type of transformation zone the MDT to ratify a for! And when it does so very slowly negative the individual can be classed as CIN1, 2 3. Undertaken in ≥95 % of all cases should be discussed at the colposcopy MDT meeting individuals needing treatment have. Used and the fertility or early pregnancy endpoint of referrals should be to... 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