Management of High-Grade Lesions
High-grade lesions of the cervix are an important subgroup of lesions as they have a high probability of progressing to cervical neoplasia. They include CIN 2 and CIN 3 lesions on histopathology. Accurate diagnosis, exclusion of invasive carcinoma, and appropriate management are crucial to prevent progression to cancer. HSIL on cytology needs colposcopic evaluation and appropriate biopsy. Once the diagnosis is confirmed by histopathology, the treatment may be done by excisional or ablative methods. Counseling and proper follow-up of patients who have been managed for CIN 2 or 3 is a very important aspect of the management.
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