Cervical erosion

Cervical erosion is a defect of pavement multilayer epithelium covering the vaginal portion of the cervix.

cervical erosion photo
Cervical erosion when cervicitis

Most often erosion result of inflammatory diseases of the cervix uteri (see Cervicitis), less frequently due to obesity (see). Under the influence materialshave actions whiter on the cervix occurs defect epithelium (true erosion). Such erosion there are usually no more than 1-2 weeks. Soon this defect begins to cover high prismatic epithelium (false erosion, or pseudo). False erosion, with velvety uneven surface with papillary growths, called papillary. With the growth of high prismatic epithelium in the depths of the cervix are formed meshotchatye education epithelium (follicular erosion). More common mixed type false erosion.
For any kind of false erosion is characterized by the formation in the thickness of the muscles of the cervix so-called erosive glands that secrete sticky mucous secret. The secret is allocated on the surface erosion causes ulceration kapitalisierung surface, which in turn is accompanied by a new increase, high prismatic epithelium. This pathological process underlies frequent relapses false erosion. Pseudo can exist for many months and even years.
Sometimes high prismatic epitheliumcovering the surface of false erosion, begins to be replaced by multi-layer flat epithelium, located around the eroded surface. Breeding, the epithelium is growing at the mouth of erosion glands, but cannot get into themselves cancer due to continuously released secret. It formed retention cysts (nabothian cyst). The existence narodowych cysts leads to relapse in the shedding of pavement multilayer epithelium. Only in some cases multi-layer flat epithelium grows in themselves cancer (full epithelization of erosion).
Symptoms and course. Patients with erosion typically complain of Beli mucopurulent character. Whites are the result of cervicitis or vaginitis. In the absence whiter symptoms. During the inspection of the cervix in mirrors the real erosion cannot be distinguished from the false. Both erosion have the form of bright red spots, located around the external uterine throat or on the front or the back lip of the cervix. On the background of the eroded surface often visible nabothian cyst - rounded education yellowish of various sizes.
In the healing of pseudo observed blanching its surface due to the multiplication of pavement multilayer epithelium. Long-existing, easily bleeding and recurrent cervical erosion should be considered as a precancerous condition. Such patients should be immediately referred to a gynecologist and an oncologist for the appropriate examination and treatment.
In the diagnosis of the erosion using instrumental methods of investigation (see Colposcopy), cytological research methods (see Cytological diagnosis) and biopsy (see) of the cervix. The erosion of the cervix should be differentiated from cervical cancer, syphilis and tuberculosis ulcers.
Treatment of cervical erosion is closely connected with treatment of the underlying disease. Local use tampons with syntomycin emulsion. A tampon enter in the vagina for one day. If the conservative therapy over the next 6-8 weeks no effect or experience a relapse of the disease is shown diathermocoagulation or surgical treatment of cervical erosion with preliminary biopsy.

Cervical erosion (erosio colli uteri). When groaning inflammatory secret is maceration of the epithelium of vaginal part of cervix (true erosion). After 1-2 weeks begins the healing process taking place in two phases. In the first phase, the surface soil is covered by a cylindrical epithelium (false erosion). Land erosion becomes bright red. False cervical erosion that occurs more often, lasts longer period (supported by inflammation of the cervix). When the second phase of the healing cells flat surface epithelium of the vagina gradually cover the surface erosion, cylindrical epithelium gradually rejected, erosion pale and approaches the normal color of external OS of the cervix.
False erosion, with velvety uneven surface with papillary growths, called papillary. When ingrown cylindrical epithelium deep are formed meshotchatye inclusion (follicular erosion). More common mixed type false erosion.
False erosion often recurs in the long-term breeding of infection in the tissues of the cervix. In addition to the most common erosions of inflammatory origin, there is sometimes inborn erosion in newborns, morphologically similar to the false inflammatory erosion.
In some cases, along with inflammation matter and hormonal factors. This is evidenced by cervical erosion that occurs during pregnancy and usually disappears after delivery.
During pregnancy morphologically erosion may remind the initial stage blastomycosis process, so biopsy during pregnancy must notify the pathologist on existing physiological condition.
The clinical picture and diagnosis. In the acute phase of erosion are mainly local changes in the outside shed and tissues of the cervix (if the process has not involved the body of the uterine appendages, okolomatocnah fiber and lots pelvic peritoneum). On bright red surface of external OS of the cervix are abundant selection mucopurulent nature with a diverse microbial flora.
In the chronic phase of selection decrease become mucous surface erosion pale and takes the color pink.
The diagnosis of the erosion put on the basis of the examination of the cervix, palpation surface erosion and microscopy discharge. For etiological diagnosis of the erosion, in particular for the differential diagnosis of preinvasive stage of cervical cancer requires more sophisticated methods of cytological diagnostics of prints surface erosion, biopsy and others (see the Uterus, cervical cancer, inflammatory diseases).
Treatment of cervical erosion in the acute stage is reduced basically to peace. Antibiotics and sulfa drugs indicated for erosion gonorrheal of origin (see Gonorrhea) or when there is inflammation of the uterus and appendages. For purification of surface erosion and vagina from flowing allocations appoint vaginal douching under low pressure with boric acid solution (1 table spoon on 1 l of water), Lizoform (1 teaspoon on 1 l of water), furatsilina (1:10 000), etc. All sorts of other manipulations on the cervix is contraindicated. In the chronic phase erosion main attention should be paid to the treatment of inflammation of the cervix is the source of erosion. Vaginal douching, baths, vaginal tampons with different medicinal substances, as a rule, give temporary success. Along with treatment of cervical cancer, in particular its channel, the surface erosion process indifferent substances (fish oil, petroleum jelly and other). Lubrication erosion cauterizing substances, especially frequent and lengthy, inefficient.
Apply also the introduction of autologous blood in the cervix (I. E. Quater), mud tampons; in resort conditions (Matsesta and others) produce hydrogen sulfide irrigation.
When the failure of conservative treatment for 6-8 weeks, or at repeated relapses it is shown diathermocoagulation or conisania cervix with preliminary biopsy.