Cervical Ectopic - causes, symptoms, diagnosis and treatment

Ectopic cervix uteri. - Atypical location of the cylindrical (cubic) of the epithelium lining the inside of the cervical canal, on the vaginal portion of the cervix that normally covered by squamous epithelium. Uncomplicated cervical ectopia does not give the clinic; in complicated marked whites, contact bleeding, itching in the genital area, dyspareunia. Cervical Ectopic detected during gynecological examination; the diagnosis to be confirmed using the extended colposcopy, cytology scraping, if necessary - biopsy. Treatment of uncomplicated ectopia is not carried out; in complicated forms assigned causal treatment is carried out destruction of altered foci.

  • Classification of cervical ectopia
  • Causes of cervical ectopia
  • Symptoms of ectopic cervical
  • uterus.
  • Diagnosis of cervical ectopia
  • Treatment of cervical ectopia
  • Prevention and prognosis in cervical ectopic
  • uterus.
  • Cervical Ectopic - treatment

  • Ectopic

    cervix uteri.
    gynecology frequently use terms pseudo, false erosion endocervicosis, zhelezistomyshechnaya hyperplasia. Normally the vaginal portion of the cervix, the available examination in the mirror, outside covers stratified squamous epithelium, while inside the cervical canal has a lining of columnar epithelium. When cervical ectopic columnar epithelium transition boundary in the plane is shifted to the external os, lying on its circumference or locally.

    Cervical Ectopic detected in 40% of women; in 11.3% of patients, this feature is inherent. The maximum frequency of cervical ectopia (40-50%) observed in women younger than 30 years. Ectopia itself never goes into cervical cancer, but on its background the development of malignancy probability increases.

    vaginitis and cervicitis caused by infection.

    In case of violation of the relationship of epithelial and stromal cells of the cervix ectopia treated as ectropion. Histologically distinguish glandular, papillary cervical ectopia and pseudo with squamous metaplasia. If ectopic glandular identified clusters of glands with an extensive network of glandular passages, signs of inflammation. When papillary ectopia occurs proliferation of stromal components and the formation of papillary structures covered with columnar epithelium.

    Healing of cervical ectopia accompanied by a reverse replacement of columnar epithelium of mature squamous epithelial cells, ie. E. The formation of the transformation zone. This process involves redundant cells that result in differentiation into immature first turn, and then mature metaplastic epithelium.

    Colposcopy allows you to distinguish between incomplete and complete the transformation zone. When adverse effects cell metaplasia may terminate, leading to a recurrence of cervical ectopia. In the case of overlapping layer of the mouth of the metaplastic cervical glands are formed retention cyst cervical cells (Nabothian cyst).

    vaginitis and endotservitsitah caused by streptococcus, E. coli, agents of STIs (mycoplasma, bacterial vaginosis, ureaplasma, chlamydia, human papillomavirus infection), and others. The pathological isolation affecting the vaginal portion of the cervix, causing desquamation squamous epithelium with the formation in its place of true erosion. Within 1-2 weeks of endocervical epithelium extends to the erosion of the surface, covering it, and the latter is formed in situ ectopic site.

    cervical infection contribute to birth trauma, neck injury in the performance of medical abortion trauma using barrier contraceptives and spermicides. Hormone concept links the development of cervical ectopia with ovarian dysfunction. It noticed that cervical ectopia common with endometriosis, fibroids, ovarian stromal hyperplasia, menstrual irregularities, early establishment of menarche and others. States caused giperestrogeniey.

    Supporters of immunological theories consider as the leading etiologic factors reduce overall protective functions. By the formation of the acquired cervical ectopia predisposes early sexual activity, frequent change of sexual partners, the presence of chronic extragenital pathology (diabetes, etc.), Multiple births, smoking.

    gynecologist. In 80% of cases occur complicated forms of cervical ectopia, combined with inflammation or precancerous changes (dysplasia, leukoplakia, cervical polyps). In the presence of vaginitis or endocervicitis celebrated selection cables, itching, dispaureniya, contact bleeding. Primary disorders that lead to cervical ectopia, can cause menstrual disorders or infertility.

    examination on a chair in the external os is seen bright red center ectopia having irregular shape. Touch the tool to the portion of pseudo can cause mild bleeding.

    In identifying cervical ectopia shown holding an extended colposcopy. The study revealed an atypical site, presented by columnar epithelium and areas of transformation. In 40% of cases during the Schiller sample is determined abnormal Colposcopic picture: leukoplakia, mosaic, punktatsiya, yodnegativnye zone. Detecting signs of data necessitates an in-depth examination of the patient.

    During diagnostics performed microscopy, bacteriological seeding, PCR study of cervical discharge. A must for cervical ectopia is scraping cytology, which reveals the existence of planar and cylindrical epithelial cells, signs of inflammation. In case of abnormal colposcopic and cytologic pattern requires a biopsy of the cervix or the separate diagnostic curettage with histological examination.

    To study the function of the ovaries are performed functional tests, we investigate the hormonal status. In identifying hormonal disorders carried out consultation of the gynecologist-endocrinologist. The differential diagnosis is carried out with ectopia true erosion and cervical cancer.

    the selection of contraception, the correction of immune and hormonal disorders.

    After arresting the infection process is carried out destruction of centers of cervical ectopia methods of cryogenic exposure, radiosurgery, laser coagulation, diathermocoagulation, chemical coagulation. In identifying ov. Nabothi autopsy performed cervical cysts. In case of leukoplakia, dysplasia, polyps, endometriosis, cervical shows the corresponding treatment data states.

    Prevention and prognosis in cervical ectopic

    uterus.

    Prevent the development of cervical ectopia allows preventive medical examinations, correction of disorders of the immune and hormonal homeostasis, timely treatment of sexually transmitted infections and inflammation, improving the culture of sexual relations, gentle performance of gynecological manipulation.

    In identifying the pseudo to avoid the development of pathological processes shown precancerous regular colpocytologic control. When cervical ectopia favorable prognosis.