High-Grade Squamous Intraepithelial Lesion (HSIL) – Identification

High-grade squamous intraepithelial lesion (HSIL) is a pre-cancerous condition that develops in the cervix, caused by the human papillomavirus (HPV). If left untreated, HSIL can lead to cervical cancer, specifically squamous carcinoma. HSIL is identified in approximately 1% of all Pap tests. Even with early identification and management, the possibility of developing cervical cancer cannot be entirely excluded. However, a identification of HSIL does not mean you currently have cervical cancer. It is important to consult your Health Care Provider and follow the recommended steps.

Laser Ablation

Carbon dioxide laser ablation is used to address pathological conditions in the cervix, vagina, or vulva. The laser destroys abnormal cells, allowing healthy cells to replace them.

Loop Electrosurgical Excision Procedure (LEEP)

LEEP is a minor procedure performed in the Health Care Provider’s office, during which a piece of the cervix is removed and sent for histological examination (conical biopsy). LEEP is also used to address abnormal cells and tissue in the cervix. This procedure uses a thin wire that acts as a surgical scalpel when heated by electrical current to cut the tissue.

Important Questions to Ask Your Health Care Provider

• Based on my gynecological history and Pap test results, what options do I have? What tests should I take and what steps should I follow?

• What do you recommend I do next and for what reason?

• What are the possible risks or side effects/complications?

• When should I repeat the Pap test?