Several years ago I found out I had CIN III, which affected the FULL thickness of the squamous epithelium. My doctor at that time (at the VA), told me not to do anything at all as it can take up to 5 yrs or longer to develop cervical cancer. (insane in my opinion) In my pathology report I requested, it also stated: "Extensive endocervical glandular involvement by CIN III is seen." I thought this was something I should not leave alone - as it was HSIL and I have one of the high risk HPVs as well. The doc absolutely would not do anything. I filed a complaint, as he also lectured me and acted very unprofessionally.
I have several questions - PLEASE help if you know any answers. :) Thanks! If the CIN III Contains the entire thickness of that epithelium tissue, I read online, that it is then considered: Carcinoma in situ (or stage 0 of actual cervical cancer) - anyone know if that is accurate? And if so, I wonder why the doctor would downplay this so greatly. ....
Next question - the thing about the extensive endocervical glandular involvement with the CIN III - does that mean the area going into the uterus has also been affected with CIN III? If so, what ways are there to treat that? Does the LEEP remove that or not at all?
I ended up paying out of pocket and having a LEEP done - she removed two layers as the damage was pretty deep.
I went to the VA again and found out I have CIN II/CIN III and it is back. I asked my new doctor (who is not any more compassionate than the last) about the endocervical involvement and if I should be concerned that the CIN III spread to that years ago and it wasn't treated. She said, "That is irrelevant." So, PLEASE fellow women - if you have any information or experiences with these terms and situations, I'd love it if you'd share any advice.
As of now, I am supposed to either have cryotherapy or a LEEP, but I'm concerned that this could have spread, as I also had a large tumor in my pelvic area a couple years ago.I am set to have an internal ultrasound, my primary care doc. set me up for that as the OBGYN would not be interested to have me checked out that thoroughly. It's tough at the VA now...not many options. But I am willing to pay outside for more advice and help with this. Thanks you guys for your support.