High-Grade Squamous Intraepithelial Lesion (HSIL)-Diagnosis

High grade squamous intraepithelial lesion (HSIL) is a pre-cancerous disease that develops in the cervix. HSIL is caused by human papillomavirus virus (HPV). If left untreated, patients with HSIL are at high risk for developing a cancer of the cervix called squamous carcinoma.  HSIL is identified in approximately 1% of all Pap tests and even if early diagnosed and treated, the possibility for developing cervical cancer cannot be excluded. However, it is important to understand that the diagnosis of HSIL does not mean that you currently suffer from cervical cancer. Consult your doctor and follow the appropriate treatment.

Laser Ablation

Carbon dioxide laser ablation is used to treat pathological conditions in the cervix, vagina or vulva. The laser destroys abnormal cells, leaving healthy cells in their place.

Loop Electrosurgical Excision Procedure. (LEEP)

Loop Electrosurgical Excision Procedure (LEEP) is a minor surgery, done in the doctor’s office, during which a piece of the cervix is removed and sent for histological examination (conical biopsy). LEEP is also used to treat 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.

It is important to ask your doctor:

  • Based on my gynaecological history and Pap test results, what options do I have? What tests should I take and what treatment should I follow?
  • What do you propose I do next and for what reason?
  • What are the possible risks or side effects/complications?
  • When should I repeat the Pap test?