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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]

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
Hellquist H, Ferlito A, Mäkitie AA, Thompson LDR, Bishop JA, Agaimy A, Hernandez-Prera JC, Gnepp DR, Willems SM, Slootweg PJ, Rinaldo A
Adv Ther 2020 Jun;37(6):2667-2677. Epub 2020 Apr 23 doi: 10.1007/s12325-020-01348-4. PMID: 32329013Free 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

Liu Y, Wu R, Li C, Wei L, Li R
Photodiagnosis Photodyn Ther 2024 Apr;46:104062. Epub 2024 Mar 23 doi: 10.1016/j.pdpdt.2024.104062. PMID: 38527659
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
Leeson SC, Alibegashvili T, Arbyn M, Bergeron C, Carriero C, Mergui JL, Nieminen P, Prendiville W, Redman CW, Rieck GC, Quaas J, Petry KU
J Low Genit Tract Dis 2014 Jan;18(1):61-9. doi: 10.1097/LGT.0b013e318286b8d3. PMID: 23774078
Kendrick JE, Huh WK, Alvarez RD
Expert Rev Med Devices 2007 Mar;4(2):121-9. doi: 10.1586/17434440.4.2.121. PMID: 17359219
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
Singh N, Gilks CB
Histopathology 2020 Jan;76(1):128-138. doi: 10.1111/his.13989. PMID: 31846523
Gale N, Gnepp DR, Poljak M, Strojan P, Cardesa A, Helliwell T, Šifrer R, Volavšek M, Sandison A, Zidar N
Adv Anat Pathol 2016 Mar;23(2):84-91. doi: 10.1097/PAP.0000000000000106. PMID: 26849814
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

Sheng B, Yao D, Du X, Chen D, Zhou L
Eur J Obstet Gynecol Reprod Biol 2023 Feb;281:1-6. Epub 2022 Dec 6 doi: 10.1016/j.ejogrb.2022.12.005. PMID: 36521399
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
Albuquerque A
Acta Cytol 2020;64(4):281-287. Epub 2019 Sep 18 doi: 10.1159/000502881. PMID: 31533094
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

van de Sande AJM, Kengsakul M, Koeneman MM, Jozwiak M, Gerestein CG, Kruse AJ, van Esch EMG, de Vos van Steenwijk PJ, Muntinga CLP, Bramer WM, van Doorn HC, van Kemenade FJ, van Beekhuizen HJ
Int J Gynaecol Obstet 2024 Jan;164(1):66-74. Epub 2023 Jun 23 doi: 10.1002/ijgo.14953. PMID: 37350560
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
Wolf JL, Billingsley CC, Kendler A, Jackson AL
J Low Genit Tract Dis 2020 Jul;24(3):259-264. doi: 10.1097/LGT.0000000000000536. PMID: 32332219
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
Verdoodt F, Jiang X, Williams M, Schnatz PF, Arbyn M
Int J Cancer 2016 Jan 15;138(2):303-10. Epub 2015 Feb 5 doi: 10.1002/ijc.29424. PMID: 25583258

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