Current diagnosis and treatment of CIN II

Krasnopol’skii V.I., Zarochentseva N.V., Ashrafyan L.A., Kiselev V.I., Dzhidzhikhiya L.K., Baranov I.I., Dzhavakhishvili M.G.

1) Moscow Regional Research Institute of Obstetrics and Gynecology of Minzdrav of Moscow Region, Russia; 2) V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia, Moscow
This review article is aimed at raising the awareness of obstetrician-gynecologists about the appropriateness of conservative management of patients aged under 25, primary prevention of HPV-associated cervical diseases and cervical cancer, and the possibility of reducing the risk of recurrence after curative treatment. The article summarizes research evidence from relevant international and domestic scientific literature available at PubMed and published over the past 10 years. The authors analyze current literature on the conservative management of young patients with cervical intraepithelial neoplasia II (CIN II) and present data on the prevalence, diagnosis, and features of the course of CIN II in women aged under 25, and the role of human papillomavirus in cancer development. The review addresses the importance of primary prevention of cervical cancer, the feasibility of conservative treatment of young patients with CIN II, and the possibility of reducing the risk of recurrence after curative treatment. This review article should be helpful for obstetrician-gynecologists in increasing their knowledge on the primary prevention of cervical cancer, and strategy for conservative management of young patients with CIN II to preserve their reproductive potential.

Keywords

human papillomavirus
human papillomavirus infection
cervical intraepithelial neoplasia II (CIN II)
cervical cancer

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Received 19.12.2019

Accepted 30.12.2019

About the Authors

Vladislav I. Krasnopolsky, academician of the Russian Academy of Sciences, doctor of medical sciences, professor, president of GBUZ MO
Moscow Regional Research Institute of Obstetrics and Gynecology. ORCID ID: orcid.org/0000-0001-7041-9024.
101000 Russia, Moscow, ul. Pokrovka, d.22A.
Nina V. Zarochentseva, MD, professor of the Russian Academy of Sciences, Deputy Director for Research, Moscow Regional Research Institute of Obstetrics and Gynecology. ORCID ID: orcid.org/0000-0001-6155-788X, ninazar11@mail.ru
101000 Russia, Moscow, ul. Pokrovka, d.22A.
Lev A. Ashrafyan, academician of the Russian Academy of Sciences, MD, professor, direktor of the Institute of Oncogynecology and Mammology, FSBI National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Acad. V. I. Kulakova “of the Ministry of Health of the Russian Federation.
117997, Moscow, st. Academician Oparin, d. 4.
Vsevolod I. Kiselev, Corresponding Member of the Russian Academy of Medical Sciences and RAS, Doctor of Biological Sciences, Professor, Deputy Director for Research at the Institute of Oncogynecology and Mammology, Federal State Budgetary Institution National Medical Research Center of Obstetrics, Gynecology and Perinatology named after Acad. V. I. Kulakova »of the Ministry of Health of the Russian Federation, ORCID ID: orcid.org/0000-0002-4721-3420
117997 Russia, Moscow, ul. Academician Oparin, d. 4.
Lela K. Dzhidzhikhiya, PhD, Researcher at the Department of Gynecological Endocrinology GBUZ MO Moscow Regional Research Institute of Obstetrics and Gynecology. ORCID ID: orcid.org/0000-0002-2853-0957, lel3311@yandex.ru
101000 Russia, Moscow, ul. Pokrovka, d.22A.
Igor I. Baranov, MD, professor, head of the organizational and methodological department of the scientific and organizational support service of the FSBI “V.I. Kulakov Scientific Center for Obstetrics, Gynecology and Perinatology”, Scientific Secretary of the Russian Society of Obstetricians and Gynecologists,
ORCID ID: orcid.org/0000-0002-9813-2823.
117997 Russia, Moscow, ul. Academician Oparin, d. 4.
Mariami G. Javakhishvili, graduate student of the outpatient department of GBUZ MO Moscow Regional Research Institute of Obstetrics and Gynecology.
ORCID ID: orcid.org/0000-0002-23852850
101000 Roosia, Moscow, ul. Pokrovka, d.22A.

For citation: Krasnopol’skii V.I., Zarochentseva N.V., Ashrafyan L.A., Kiselev V.I., Dzhidzhikhiya L.K., Baranov I.I., Dzhavakhishvili M.G. Current diagnosis and treatment of CIN II.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 1(Suppl): 18-25 (in Russian)
https://dx.doi.org/10.18565/aig.2020.1suppl.18-25

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