Thanks for the query to ATD for an opinion,
As your Pap smear returned with a CIN 3 report, it means that you have cervical intraepithelial neoplasia grade 3. CIN 2 and CIN 3 are recognized potential cancer precursors, although CIN 2 is associated with significant spontaneous regression. Evidence suggests that approximately 40 percent of CIN 2 cases regress over two years, whereas regression of CIN 3 is too rare to measure accurately.
As a consequence, immediate treatment of CIN 2 and CIN 3 with excision or ablation in nonpregnant patients is recommended. This means that first a colposcopy is to be done after the biopsy report to look for the area of spread and then cervical cone excision or a LEEP excision procedure may be undertaken to remove the lesion from the cervix. This shall be re-subjected to histopathology to confirm clearance of margin by 5mm.
Then follow up of 3 monthly PAP smear may be undertaken for first 2 years then yearly for next 3 years to watch for the recurrence.
In the absence of other indications, hysterectomy is not the initial treatment of choice for patients with CIN 2 or CIN 3. Hysterectomy may be considered for treatment of persistent or recurrent CIN 2 or CIN 3 or when a repeat excision is indicated but technically unfeasible. If excision is indicated, it should be performed (where possible) before hysterectomy to rule out invasive cancer.
This may be too technical for you, in simple terms this is onset of cervical cancer and presently has to be managed by cervical excision. If there is no recurrence in 2 years then you stand treated else repeat excision or a hysterectomy may be required.
As fertility is not a concern in your case, i suggest you should get a hysterectomy done before things spread further.
I hope i have answered your query,
Wishing you good health,
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