Natural history of low-grade squamous intraepithelial lesion.
OBJECTIVE
To determine guidelines for management of CIN1 by evaluating its natural history.


METHODS
One hundred fifty-eight patients were diagnosed with CIN1 had colposcopy follow-up with or without cytology every three months.


RESULTS
Colposcopically directed biopsy confirmed progression to CIN2 or CIN3 in 17 of 158 (10.7%) patients, persistence of CIN1 in 87 (55%) patients, regression to normal in 54 (34.2%) patients during the 5-year follow-up period. The percentage of abnormal Pap tests were 39%, 64%, and 71% in the regression, persistent, and progression groups, respectively. The percentage of HPV-positive tests were 16%, 29%, 65% in regression, persistent, and progression groups, respectively.


CONCLUSIONS
Of the patients who were diagnosed with CIN1 and monitored by colposcopy for 60 months, 34% had disease regression, 55% had persistent disease, and 11% had progressive disease. HPV DNA testing is more informative than the Pap test in the prediction of disease progression.
Saw
H S
HS
Department of Obstetrics/Gynecology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea. sawhs@korea.ac.kr
Lee
J K
JK
Lee
H L
HL
Jee
H J
HJ
Hyun
J J
JJ