A biopsy of the cervix with erosion
A biopsy of the cervix with erosion – procedure excision of tissue, the purpose of which is the implementation of diagnostic tests.
The need for this procedure is determined by a specialist in gynecology. Biopsy can be performed as an outpatient, and hospital. The need for anesthesia is determined by the doctor conducting the procedure individually in each case.
The purpose of the biopsy
Dimensions withdrawn for examination the piece of cloth, usually do not exceed 5 mm. the Main objective of this procedure is the screening for cervical cancer in the initial stages of the disease. Cervical cancer is a relatively common and dangerous disease of the female reproductive system. In accordance with the data provided by who, in the course of the year in Europe equals 65000 patients with carcinoma, which is a type of cancer. Mortality in some countries reaches the target of 48%.
Biopsy is recommended according to the results of cytologic examination to confirm, clarify or refute the presumptive diagnosis. It is a scraping of cells from the mucosal surface of the channel. This type of survey is revealing in identifying the relationship between the sizes of cells and their development. The accuracy of diagnosing cancer when conducting zaoblachnye reaches 80%, and the accuracy of the biopsy is close to 100%.
The main indications and contraindications when performing the diagnosis by biopsy
The examination of the body by taking the material for biopsy is assigned in the following situations:
- The presence in the body erosion. It is an open ulcer, the localization of which is thinning of the epithelial area. The area of the lesion with erosion of mucous membranes is usually small or medium in size. This files most often identified erosion does not require specialized treatment and usually does not pose a big threat to the lives and health of women. In some cases, the erosion may be evidence of tumor growth or the result of a pathogenic virus.
- The detection of the mucous membrane of the cervix neoplasm or seal tissue. They are identified in the survey through the use of colposcopy.
- The procedure is an examination of the vaginal walls with the help of binoculars, which for the convenience of the survey is equipped with a lighting device. The colposcopy is very often combined with biopsy.
- Detecting the presence of a positive reaction when the survey was conducted on the papillomavirus. This pathogenic agent is capable of long time to exist in a woman’s body, not causing any changes. Often the appearance of a positive reaction to HPV is associated with weakening of the immune system at the local level. Activation of HPV leads to the activation of the process of malignant transformation of the cell layer of the epithelium.
- The changes occur in cell structures, which are detected during cytological examination.
The identification of exophytic warts. These formations represent outgrowths of various sizes, which in appearance resemble warts. They are most often clinical manifestation of HPV infection of the patient.
The main contraindications to the implementation of the biopsy are reduced, the rate of coagulation and the presence in the female organism of inflammatory processes in the acute stage. Low rate of blood clotting eliminates any type of surgery that the diagnosis is no exception.
Methods biopsy of the cervix
Modern medical practice uses the following types of biopsies:
- Sighting. In the process of applying this technique uses a thin needle. The procedure is done under control of a special device – colposcope.
- Loop. This type of biopsy has the second name of the radio wave method. During the operation, is overlaid on affected area of the loop of wire. It is a pass of electric current. Under its action is the coagulation and necrosis of cells in the overlay of the hinge. Method is used both during diagnosis and treatment. Get after the procedure, the biological material is undamaged and, if necessary, used in cytological study.
- Wedge-shaped. The procedure is done using a scalpel. This method consists in the implementation of the excision as the epithelial and connective tissue layer of the cervix. The cut is made at a depth of not less than 3 mm. Form it is wedge-shaped. After completion of the procedure on the resulting wound surface is superimposed by surgical sutures.
Depending on the extensiveness of the intended survey, there are different types of biopsies. If necessary, is the removal of the damaged portion to cure the disease.
The procedure of biopsy
Procedure in the detection of cervical erosion is performed to exclude the presence of tumors or other pathological processes. Often a specific treatment of erosion is not assigned, this is especially true for women who did not give birth. However, such patients should be under regular observation and control.
As a rule, every six months you should conduct a survey using visual inspection, colposcopy, and research using the method of biopsy. Regular visits to the doctor to be able to determine the presence of processes that increase erosion. The survey also helps to timely identify the likelihood of malignant transformation of structures, and cancer.
It is not recommended to agree to the holding of coagulation erosion or the use of radiowave therapy without the availability of good prerequisites. The fact that the use of these treatments can cause female body significant harm. In the appointment your doctor conduct the above procedures are recommended to visit one more specialist and get advice from him.
The method of procedure and results
When a biopsy of cervical erosion is carried out on 5-7 day of the menstrual cycle. At the beginning of the procedure, the cervix is subjected to treatment with antiseptic agents. Next, the required part of the cervix is fixed with the help of special forceps. The control procedure is performed with the use of gynaecological mirror and colposcope. When the need for extensive intervention is the injection of analgesic. The most common such drug is Lidocaine.
Before the procedure the woman should be warned about the possible negative consequences after the intervention. After reviewing the physician must obtain the patient’s written consent for the procedure.
After the resulting wound is treated with the help of a tampon with a solution of the drug with hemostatic effect. If necessary an overlay of surgical sutures. Fixing the resulting material is done in 10% alcoholic formalin solution. Before the procedure is forbidden to take food and fluids for 12 hours.
The use of modern methods helps to detect the presence of carcinoma, dysplasia and background processes with different etiology. Changes in cellular structures, which are insignificant, are treated as a background process. These may be caused by tumors having a benign nature, hormonal failure, or infectious processes affecting the female reproductive system.