Lesson 120丨 录音+讲义（英国老师录制）@Medediting医患口语讲座

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Cervical Dysplasia

Sean: Good evening to all our Doctors here with us tonight. We have another lesson beginning in a moment. This lesson is based on Cervical Dysplasia. Let’s begin.

D: Mrs Phelps, I have the results of your pelvic examination back. The pap test was positive for squamous intraepithelial lesions (SIL), which indicates that you have cervical dysplasia.

P: What is cervical dysplasia? How serious is my condition?

D: Cervical dysplasia refers to abnormal changes in the cells on the surface of the cervix. The cervix is the lower part of the uterus (womb) that opens at the top of the vagina.

Now, these changes are not cancerous at the moment, but time will tell if there is a possibility that they could mutate into cancer in the future. I will need to perform a colposcopy to check if there are any area's causing immediate concern, and if so we will perform biopsies from those area's to assess the situation and decide what our next course of action should be. The biopsies are not painful, most women only feel a small cramp during this process.

Also, some strains of HPV are known to cause cervical cancer. So I want to do a HPV DNA test which can identify the high-risk types of HPV linked to this cancer.

P: This is a lot to take in, but I am confident that you can diagnose and help me efficiently. What happens if these next set of tests show us signs of abnormal growth?

D: Treatment depends on the degree of dysplasia. Mild dysplasia (LSIL or CIN I) may go away without treatment. You may only need repeat Pap tests every 6 to 12 months if it's mild.

If the changes do not go away or get worse, treatment is needed.

Treatment for moderate to severe dysplasia or mild dysplasia that does not go away may include cryosurgery to freeze abnormal cells,

laser therapy, which uses light to burn away abnormal tissue, LEEP (loop electrosurgical excision procedure), which uses electricity to remove abnormal tissue, surgery to remove the abnormal tissue (cone biopsy) or a hysterectomy, but this is only in rare cases.

P: It’s a relief to know that there are many ways this problem can be dealt with. I feel like I am in safe hands, and whether the results of these next tests are good or bad I know that we will be able to combat it. Thanks for the information you have shared with me Doctor.

D: I’m here to assist you in anyway that I can. I’ll see you again soon.

Word Descriptions

Squamous intraepithelial lesions (SIL) - A squamous intraepithelial lesion (SIL) is an area of abnormal tissue on the skin inside of your body. It can affect the cervix, vagina, vulva, anus, penis or back of the throat. These lesions are precancerous, which means they’re not cancer but have the potential to become cancerous and spread to other tissues.

Cervical dysplasia - Cervical dysplasia isn't cancer. The term indicates that abnormal cells were found on the surface of the cervix.

Cervical dysplasia can range from mild to severe, depending on the appearance of the abnormal cells. On the Pap test report, this will be reported as a low- or high-grade squamous intraepithelial lesion (SIL) or sometimes as atypical squamous or glandular cells. Dysplasia could go away on its own. Or, rarely, it could develop into cancer.

Time will tell - Means you will discover in the future what the result of a present situation is.

“Time will tell whether we made the right decision”