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High Grade Cervical Squamous Intraepithelial Neoplasia

MedGen UID:
268190
Concept ID:
C1512433
Neoplastic Process
Synonyms: High Grade Cervical Squamous Intraepithelial Lesion; High-Grade Cervical SIL; High-Grade Cervical Squamous Intraepithelial Lesion; High-Grade CIN; HSIL of Cervix

Definition

A precancerous neoplastic process that affects the cervical squamous epithelium. It is usually associated with human papillomavirus infection. It is classified as cervical squamous intraepithelial neoplasia 2 when there is nuclear atypia in both the upper and lower epithelial layers, mitotic figures are confined to the basal two-thirds of the epithelium, and maturation is present in the upper half of the epithelium. It is classified as cervical squamous intraepithelial neoplasia 3 when there is nuclear atypia and mitotic figures throughout the entire thickness of the epithelium, and maturation is absent or confined to the upper third of the epithelium. [from NCI]

Professional guidelines

PubMed

Kesic V, Carcopino X, Preti M, Vieira-Baptista P, Bevilacqua F, Bornstein J, Chargari C, Cruickshank M, Erzeneoglu E, Gallio N, Gultekin M, Heller D, Joura E, Kyrgiou M, Madić T, Planchamp F, Regauer S, Reich O, Esat Temiz B, Woelber L, Zodzika J, Stockdale C
Int J Gynecol Cancer 2023 Apr 3;33(4):446-461. doi: 10.1136/ijgc-2022-004213. PMID: 36958755Free PMC Article
Burness JV, Schroeder JM, Warren JB
Am Fam Physician 2020 Jul 1;102(1):39-48. PMID: 32603071
Lyng FM, Traynor D, Ramos IR, Bonnier F, Byrne HJ
Anal Bioanal Chem 2015 Nov;407(27):8279-89. Epub 2015 Aug 16 doi: 10.1007/s00216-015-8946-1. PMID: 26277185

Recent clinical studies

Etiology

Kesic V, Carcopino X, Preti M, Vieira-Baptista P, Bevilacqua F, Bornstein J, Chargari C, Cruickshank M, Erzeneoglu E, Gallio N, Gultekin M, Heller D, Joura E, Kyrgiou M, Madić T, Planchamp F, Regauer S, Reich O, Esat Temiz B, Woelber L, Zodzika J, Stockdale C
Int J Gynecol Cancer 2023 Apr 3;33(4):446-461. doi: 10.1136/ijgc-2022-004213. PMID: 36958755Free PMC Article
Janke MJ, DeBlanc J, Kobernik EK, Skala SL, Hiles GL, Kelly R, Welch KC
J Low Genit Tract Dis 2022 Oct 1;26(4):319-322. Epub 2022 Aug 15 doi: 10.1097/LGT.0000000000000690. PMID: 35972920
Long T, Long L, Chen Y, Li Y, Tuo Y, Hu Y, Xie L, He G, Zhao W, Lu X, Lin Z
Arch Gynecol Obstet 2021 Feb;303(2):547-556. Epub 2020 Sep 26 doi: 10.1007/s00404-020-05804-y. PMID: 32980959
Harder T, Wichmann O, Klug SJ, van der Sande MAB, Wiese-Posselt M
BMC Med 2018 Jul 18;16(1):110. doi: 10.1186/s12916-018-1098-3. PMID: 30016957Free PMC Article
Crum CP, McLachlin CM
J Cell Biochem Suppl 1995;23:71-9. doi: 10.1002/jcb.240590910. PMID: 8747380

Diagnosis

Zidar N, Gale N
Head Neck Pathol 2022 Mar;16(1):31-39. Epub 2022 Mar 21 doi: 10.1007/s12105-021-01405-6. PMID: 35312977Free PMC Article
Singh N, Gilks CB
Histopathology 2020 Jan;76(1):128-138. doi: 10.1111/his.13989. PMID: 31846523
Koeneman MM, Kruitwagen RF, Nijman HW, Slangen BF, Van Gorp T, Kruse AJ
Expert Rev Mol Diagn 2015 Apr;15(4):527-46. Epub 2015 Feb 21 doi: 10.1586/14737159.2015.1012068. PMID: 25703310
Martin CM, O'Leary JJ
Best Pract Res Clin Obstet Gynaecol 2011 Oct;25(5):605-15. Epub 2011 Jun 1 doi: 10.1016/j.bpobgyn.2011.04.005. PMID: 21636328
Crum CP, McLachlin CM
J Cell Biochem Suppl 1995;23:71-9. doi: 10.1002/jcb.240590910. PMID: 8747380

Therapy

Kesic V, Carcopino X, Preti M, Vieira-Baptista P, Bevilacqua F, Bornstein J, Chargari C, Cruickshank M, Erzeneoglu E, Gallio N, Gultekin M, Heller D, Joura E, Kyrgiou M, Madić T, Planchamp F, Regauer S, Reich O, Esat Temiz B, Woelber L, Zodzika J, Stockdale C
Int J Gynecol Cancer 2023 Apr 3;33(4):446-461. doi: 10.1136/ijgc-2022-004213. PMID: 36958755Free PMC Article
Fonseca BO, Possati-Resende JC, Salcedo MP, Schmeler KM, Accorsi GS, Fregnani JHTG, Antoniazzi M, Pantano NP, Santana IVV, Matsushita GM, Dos Reis R
Obstet Gynecol 2021 Jun 1;137(6):1043-1053. doi: 10.1097/AOG.0000000000004384. PMID: 33957649Free PMC Article
Harder T, Wichmann O, Klug SJ, van der Sande MAB, Wiese-Posselt M
BMC Med 2018 Jul 18;16(1):110. doi: 10.1186/s12916-018-1098-3. PMID: 30016957Free PMC Article
Kelly H, Weiss HA, Benavente Y, de Sanjose S, Mayaud P; ART and HPV Review Group
Lancet HIV 2018 Jan;5(1):e45-e58. Epub 2017 Oct 26 doi: 10.1016/S2352-3018(17)30149-2. PMID: 29107561Free PMC Article
Crum CP, McLachlin CM
J Cell Biochem Suppl 1995;23:71-9. doi: 10.1002/jcb.240590910. PMID: 8747380

Prognosis

Zidar N, Gale N
Head Neck Pathol 2022 Mar;16(1):31-39. Epub 2022 Mar 21 doi: 10.1007/s12105-021-01405-6. PMID: 35312977Free PMC Article
Della Corte L, Mercorio A, Giampaolino P, Vitale SG, Vizzielli G, Bifulco G, Lavitola G
Updates Surg 2022 Aug;74(4):1239-1245. Epub 2021 Nov 5 doi: 10.1007/s13304-021-01193-2. PMID: 34739708
Singh N, Gilks CB
Histopathology 2020 Jan;76(1):128-138. doi: 10.1111/his.13989. PMID: 31846523
Koeneman MM, Kruitwagen RF, Nijman HW, Slangen BF, Van Gorp T, Kruse AJ
Expert Rev Mol Diagn 2015 Apr;15(4):527-46. Epub 2015 Feb 21 doi: 10.1586/14737159.2015.1012068. PMID: 25703310
Martin CM, O'Leary JJ
Best Pract Res Clin Obstet Gynaecol 2011 Oct;25(5):605-15. Epub 2011 Jun 1 doi: 10.1016/j.bpobgyn.2011.04.005. PMID: 21636328

Clinical prediction guides

Zidar N, Gale N
Head Neck Pathol 2022 Mar;16(1):31-39. Epub 2022 Mar 21 doi: 10.1007/s12105-021-01405-6. PMID: 35312977Free PMC Article
Bai A, Wang J, Li Q, Seery S, Xue P, Jiang Y
BMC Womens Health 2022 Jan 11;22(1):9. doi: 10.1186/s12905-022-01592-6. PMID: 35012523Free PMC Article
Della Corte L, Mercorio A, Giampaolino P, Vitale SG, Vizzielli G, Bifulco G, Lavitola G
Updates Surg 2022 Aug;74(4):1239-1245. Epub 2021 Nov 5 doi: 10.1007/s13304-021-01193-2. PMID: 34739708
Harder T, Wichmann O, Klug SJ, van der Sande MAB, Wiese-Posselt M
BMC Med 2018 Jul 18;16(1):110. doi: 10.1186/s12916-018-1098-3. PMID: 30016957Free PMC Article
Martin CM, O'Leary JJ
Best Pract Res Clin Obstet Gynaecol 2011 Oct;25(5):605-15. Epub 2011 Jun 1 doi: 10.1016/j.bpobgyn.2011.04.005. PMID: 21636328

Recent systematic reviews

Della Corte L, Mercorio A, Giampaolino P, Vitale SG, Vizzielli G, Bifulco G, Lavitola G
Updates Surg 2022 Aug;74(4):1239-1245. Epub 2021 Nov 5 doi: 10.1007/s13304-021-01193-2. PMID: 34739708
Moscicki AB, Flowers L, Huchko MJ, Long ME, MacLaughlin KL, Murphy J, Spiryda LB, Gold MA
J Low Genit Tract Dis 2019 Apr;23(2):87-101. doi: 10.1097/LGT.0000000000000468. PMID: 30907775
Harder T, Wichmann O, Klug SJ, van der Sande MAB, Wiese-Posselt M
BMC Med 2018 Jul 18;16(1):110. doi: 10.1186/s12916-018-1098-3. PMID: 30016957Free PMC Article
Kelly H, Weiss HA, Benavente Y, de Sanjose S, Mayaud P; ART and HPV Review Group
Lancet HIV 2018 Jan;5(1):e45-e58. Epub 2017 Oct 26 doi: 10.1016/S2352-3018(17)30149-2. PMID: 29107561Free PMC Article
Clifford GM, Tully S, Franceschi S
Clin Infect Dis 2017 May 1;64(9):1228-1235. doi: 10.1093/cid/cix135. PMID: 28199532Free PMC Article

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