Cervical intraepithelial neoplasia: Difference between revisions

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{{Infobox Disease
{{SI}}                                                                     
| Name          = Cervical intraepithelial neoplasia
{{CMG}} {{AE}} {{MV}}
| Image          =
| Caption        =
{{SK}} CIN; cervical interstitial neoplasia; cervical dysplasia; cervical interstitial neoplasia
| DiseasesDB    =
   
| ICD10          = {{ICD10|D|06||d|00}}, {{ICD10|N|87||n|80}}
==Overview==
| ICD9          = {{ICD9|233.1}}, {{ICD9|622.10}}
  | ICDO          =
| OMIM          =
| MedlinePlus    = 001491
| MeshID        = D018290
}}
{{Cervical intraepithelial neoplasia}}


'''For patient information on Cervical Cancer, click [[Cervical cancer (patient information)|here]]'''


'''For patient information on Cervical Dysplasia, click [[Cervical dysplasia (patient information)|here]]'''
==Historical Perspective==
 
*Cervical intraepithelial neoplasia was first discovered by Dr. Georgios Nikolaou Papanikolaou, a Greek pathologist, in 1927.<ref name="wiki>Georgios Nikolaou Papanikolaou Wikipedia. https://en.wikipedia.org/wiki/Georgios_Papanikolaou Accessed on March 29, 2016</ref>
{{CMG}}
*In 1928, the first screening was developed by Aurel Babeș, a Romanian pathologist to diagnose cervical intraepithelial neoplasia.<ref name="wiki> Aurel Babes. Wikipedia https://en.wikipedia.org/wiki/Aurel_Babe%C8%99. Accessed on March 29, 2016</ref>
 
*In 1980, human papillomavirus (HPV) was first identified in the pathogenesis of cervical intraepithelial neoplasia.<ref name="pmid23399794">{{cite journal |vauthors=Herfs M, Crum CP |title=Laboratory management of cervical intraepithelial neoplasia: proposing a new paradigm |journal=Adv Anat Pathol |volume=20 |issue=2 |pages=86–94 |year=2013 |pmid=23399794 |doi=10.1097/PAP.0b013e3182862aab |url=}}</ref>
{{SK}} CIN; cervical interstitial neoplasia
 
==Classification==
==[[Cervical intraepithelial neoplasia overview|Overview]]==
*Cervical intraepithelial neoplasia has 4 cytological classifications: Bethesda system, Papanicolaou classification, CIN nomenclature, and dysplasia nomenclature.
 
*Cervical intraepithelial neoplasia may be classified according to Papanicolau into 3 subtypes:
==[[Cervical intraepithelial neoplasia historical perspective|Historical Perspective]]==
:* '''CIN1''' (Grade I)
 
:* '''CIN2''' (Grade II)
==[[Cervical intraepithelial neoplasia classification|Classification]]==
:* '''CIN3''' (Grade III)
 
*Cervical intraepithelial neoplasia may be classified according to Bethesda system into 3 subtypes:
==[[Cervical intraepithelial neoplasia pathophysiology|Pathophysiology]]==
:*Low grade squamous intraepithelial lesion (LGSIL)
 
:*High grade squamous intraepithelial lesions (HSIL)
==[[Cervical intraepithelial neoplasia causes|Causes]]==
:*Carcinoma in situ
 
*Other variants of cervical intraepithelial neoplasia include [disease subtype 1], [disease subtype 2], and [disease subtype 3].
==[[Cervical intraepithelial neoplasia differential diagnosis|Differentiating Cervical intraepithelial neoplasia from other Diseases]]==
 
==Pathophysiology==
==[[Cervical intraepithelial neoplasia epidemiology and demographics|Epidemiology and Demographics]]==
*The pathogenesis of cervical intraepithelial neoplasia is characterized by [feature1], [feature2], and [feature3].
 
*The [gene name] gene/Mutation in [gene name] has been associated with the development of cervical intraepithelial neoplasia, involving the [molecular pathway] pathway.
==[[Cervical intraepithelial neoplasia risk factors|Risk Factors]]==
*On gross pathology, [feature1], [feature2], and [feature3] are characteristic findings of cervical intraepithelial neoplasia.
 
*On microscopic histopathological analysis, [feature1], [feature2], and [feature3] are characteristic findings of cervical intraepithelial neoplasia.
==[[Cervical intraepithelial neoplasia screening|Screening]]==
 
==[[Cervical intraepithelial neoplasia natural history|Natural History, Complications and Prognosis]]==
 
==Diagnosis==
[[Cervical intraepithelial neoplasia staging|Staging]] | [[Cervical intraepithelial neoplasia history and symptoms|History and Symptoms]] | [[Cervical intraepithelial neoplasia physical examination|Physical Examination]] |  [[Cervical intraepithelial neoplasia laboratory tests|Laboratory Findings]] | [[Cervical intraepithelial neoplasia other diagnostic studies|Other Diagnostic Studies]]
 
==Treatment==
[[Cervical intraepithelial neoplasia medical therapy|Medical Therapy]] | [[Cervical intraepithelial neoplasia surgery|Surgery]] | [[Cervical intraepithelial neoplasia primary prevention|Primary Prevention]] | [[Cervical intraepithelial neoplasia secondary prevention|Secondary Prevention]] | [[Cervical intraepithelial neoplasia cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Cervical intraepithelial neoplasia future or investigational therapies|Future or Investigational Therapies]]
 
==Case Studies==
[[Cervical intraepithelial neoplasia case study one|Case #1]]
 
==Related Chapters==
* [[Cervical cancer]]
* [[Human papillomavirus]]
* [[Cervical dysplasia]]
 
[[Category:Disease]]
[[Category:Types of cancer]]
[[Category:Gynecology]]
[[Category:Oncology]]
 
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Revision as of 19:47, 29 March 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]

Synonyms and keywords: CIN; cervical interstitial neoplasia; cervical dysplasia; cervical interstitial neoplasia

Overview

Historical Perspective

  • Cervical intraepithelial neoplasia was first discovered by Dr. Georgios Nikolaou Papanikolaou, a Greek pathologist, in 1927.[1]
  • In 1928, the first screening was developed by Aurel Babeș, a Romanian pathologist to diagnose cervical intraepithelial neoplasia.[1]
  • In 1980, human papillomavirus (HPV) was first identified in the pathogenesis of cervical intraepithelial neoplasia.[2]

Classification

  • Cervical intraepithelial neoplasia has 4 cytological classifications: Bethesda system, Papanicolaou classification, CIN nomenclature, and dysplasia nomenclature.
  • Cervical intraepithelial neoplasia may be classified according to Papanicolau into 3 subtypes:
  • CIN1 (Grade I)
  • CIN2 (Grade II)
  • CIN3 (Grade III)
  • Cervical intraepithelial neoplasia may be classified according to Bethesda system into 3 subtypes:
  • Low grade squamous intraepithelial lesion (LGSIL)
  • High grade squamous intraepithelial lesions (HSIL)
  • Carcinoma in situ
  • Other variants of cervical intraepithelial neoplasia include [disease subtype 1], [disease subtype 2], and [disease subtype 3].

Pathophysiology

  • The pathogenesis of cervical intraepithelial neoplasia is characterized by [feature1], [feature2], and [feature3].
  • The [gene name] gene/Mutation in [gene name] has been associated with the development of cervical intraepithelial neoplasia, involving the [molecular pathway] pathway.
  • On gross pathology, [feature1], [feature2], and [feature3] are characteristic findings of cervical intraepithelial neoplasia.
  • On microscopic histopathological analysis, [feature1], [feature2], and [feature3] are characteristic findings of cervical intraepithelial neoplasia.
  1. 1.0 1.1 Georgios Nikolaou Papanikolaou Wikipedia. https://en.wikipedia.org/wiki/Georgios_Papanikolaou Accessed on March 29, 2016
  2. Herfs M, Crum CP (2013). "Laboratory management of cervical intraepithelial neoplasia: proposing a new paradigm". Adv Anat Pathol. 20 (2): 86–94. doi:10.1097/PAP.0b013e3182862aab. PMID 23399794.