HCIL - cin 2-3

Hi Zetti,

I am Sharon, one of the nurses on the Macmillan Cancer Support Line.

It can be difficult waiting for appointments. We are here if you need a chat. We have webchat as well as our support line.

As the title of this post is HCIL – cin 2-3, I have assumed these are results from investigations that you have had, and that you mean HSIL?

HSIL is a high grade squamous intraepithelial lesion. Put simply, this means they have found abnormal cells found within the surface layer or lining of the cervix. It is not cancer but may develop into cancer if left untreated.

A diagnosis of HSIL is usually done by colposcopy after getting an abnormal smear test. Sometimes diagnosis is not clear from the colposcopy, and they need to take a biopsy (a small amount of cells) to see how abnormal the cells look.

HSIL is subdivided into CIN 2 and CIN 3. (cervical intraepithelial neoplasia)

CIN 2 means that there are abnormal cells in two thirds of the thickness of the cervical lining. This is not cancer but there is a risk of it developing into cancer. It may be treated or monitored with a repeat colposcopy.

CIN 3 means there are abnormal cells over the full thickness of the cervix lining. It is not cancer, but more likely to develop into cancer if left untreated. CIN 3 is treated to stop cancer from developing.

If you have a diagnosis of HSIL, your consultant will tell you which sub-type it is and whether it needs treatment when you go for your appointment. They will answer any questions that you have and may ask you to sign consent for treatment if that is appropriate. Don’t be afraid to request time to consider your options if you need it.

It can help to take someone with you, not just for support but as another ‘pair of ears’, as you are likely to be a little anxious. Write down any questions that you want to ask before you go, so you don’t forget things that are important to you. Most consultants are happy for people to record the consultation if you think that would be useful.

I hope this is the information you were looking for. Please contact us again if you need further support or if you want to talk things through.

Take care,

Sharon

Cancer Information Nurse Specialist 

You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email. Ref; SA/LZD