????????????? ?????????????? ??? ??????????? ??????????? (??????) - HSIL ???? CIN2
??????????
?? ??????? ??????? ?????????????? ?? ???????????? ? ?????????? ?? ??????????? ????????????? ?? ????? ?? CIN3. ??????????? ?????? ??????????????? ???????? ????? ???????? ?????? ?? ?????????????? ?? ?????? ?????????? ?????? ? NC ???????? ?? ???? ?? ??????? ????? ??????? ?? ?????????.
???????
?? ???????? ?????????????? ??? ??????????? ????? ???????? ?? ???? ?????????????? ??? HSIL ???? ?????? ?? ????? ???????? ???????. ?? ??????? ?????? ?? ????? ???? ??????????????, ??????????????? ? ?????????????.
?????????????
?? ????????????? ??????? ????? ???????? ?? ???? ???? ???????? ???????? ???? ? ????????? ?????????. ??????? ?? ??????????? ????????, ????????????? LSIL, ?????? ?? ???????? ?? ?SIL – ?????????????? ???? ??????????? ???????? ???? ????????? LSIL: ??? ????? 9c-7 (a-b).
??????/????????????????? ????????
?????? ?????????? ??????? ?????????? ???? ? NC ???????? ????? ??????? 50% ??? ??????????? ???????
????? 9c-7 (a-c). ?????????? ?????????? (??????) ????????????? ?????????? ?? CIN2?
(a) ?????? ????????????? ???????? ?? ???????? ?????????????? ??????????? ??? ????????????? ??? ????????? ?????? ??????? 50% ??? ??????????? ??? 50%. ?????? ??????????? ???????? ??????????? ?????? ??? ??????? ?? ????????? NC ????????. ?? ??????? ????? ??????? ??????????????.p
(b) ???????? ?????? ???????????? ??????? ?? ????????? ?????? NC ???????? ???? ?? 50%. ?? ??????? ????? ????????????? ?? ????? ??? ?????????.
(c) ?????????? ???? ??? ??????? ???????? CIN2 ???? ??? ????????? ??? ?????????, ????????? ????? ?? ??????? ?? ?????????? NC ???????? ?????? ?? ???????????? ?? ???????????? HSIL ???? CIN2.
???????? ?????? HSIL (???? CIN2) ??? LSIL
? ??????? ???????? ????? ?????? HSIL ??? LSIL. ??????? ??? ?? 2 ?????? ?? ??????????? ??? ???? ????????, ?????? ??? ????? ???? CIN2 ??? CIN3, ??? CIN2 ?????????????? ??? ??????????? ????????, ???? ?????? ??????? ????? ?? ????? ??????? ?? ?????????. ? ??????? ?? ?????? ?? ?????? ???? ??? ?????????? ???? ??? ????????? ?????????? ??? ????? ??? ????????? ????????? ????? ??? ???? NC ????????. ? ???????? ?? ?????? ?? ???????? ???? ??? ?????? ????????.
????????, ?? ?????? ?? ?????? ??????? ???? ??????? ????-????????? ??? ???????? ????????? ?????????? ? ??? ????????? ????????? ?? HSIL ???? CIN2 (?????? ??????????): ??? ???????? ?? ???? ?? ???????? ???? ??????? ??? ASC-US [??????? ?? ???????? 10 – ???????]
? ???????? ???? ???????? ??????? ??????????? HSIL ??? LSIL (??? ??????? ??? ??? ?????? ??????????) ????????????? ??? ??? ?????????? ??? ??????? ??? 2 ??????????? ??? ??????? ??????????? website ??????????????? ??? ??? BSCC Terminology Conference ?? 2002 (????? 9c-8 a-b). ? ??????????? ???????? ????? ??? ??????? ?? ?????????? (a) ??? ??????????? (b) ?????????? ???????? ???? ?????? ?????? ??????????? ???????? ?????? ??????? ??? ??????? ??????????? ???? ???????????? ???????????. ?? ?????? ?? ????????? ??? ?? ??????? ????? ??????????? ?? LSIL ???? ?? HSIL ?? ??? ? NC ???????? ????? ?????????? ?? HSIL.
?? ????????? ??? ???? 2 ????? ??????????? ????? ? ???????? ???????? ????????? ??? ?????????? ??? ???????? ????????? ????????? (??????????) ???????????? ??? ???????? ???????? ??? SIL ???? ASC-US ? ASC-H. ?? ??????? ??????????? ???? ?? ???????? ?????? ?? ??????????? ?? ?????????? ???????? ?????? (Denton et al. 2008) ??? ?? ??????????????? ?? ?????????? ???????? (??????).
????? 9c-8 (a-b). 2 ??????? SIL ??? BSCC Terminology Conference 2002.
?????????? (??????) ?????????? (CIN2 ??????????). ??????? ?? ????? NC ???????? ??????????? ?? ??? ????? ???????. BSCC ?????????? ?????????????: 19% ??????, 52% ??????, 27% ??????, 2% ?????? (borderline)
(b) ??????????? (??????) ?????????? (CIN1 ??????????). ?????????????? ??????????? ?????????????? ?? ???? ??????? ?? ????? ?????????????? ??? ??????????. ? ??????? ?????? NC ???????? ????????? ??? ??? ??????????? ?????? ????????????????? ???????? ?? ????? ?? CIN2. BSCC ?????????? ?????????????: 10% ?????? (borderline), 43% ??????, 39% ??????, 0% ??????.
???????? ?????? HSIL ??? LSIL
- ??????? ??????? ?? ????? ??????????? ?? LSIL ???? ?? HSIL
- NC ????? ????????? ?? HSIL ???? ???? ???? ??? ??????????? ?????????????????? ????????
- ????????????????? ???????? ?????? ?? ??????????? ?? ?????? ??????? ?? HSIL ???? CIN2 (?????? ????????? LSIL)
- ?????????? ??????????? ?? HSIL ??? LSIL
- ?? ????????? ?????????? ? ???????? ????? ??????????? ?? SIL ???????? ?????? ???? ASC-H
|
????????????? ?????????????? ??????? ??????????? (HSIL ???? CIN3)
??????????
?? ??????? ???????????? ??? ????????????? ?????????????? ???? ?? ?????????? ???? ??????? ?? ?????????????? ????????????? ??? ??????. ??????, ??????? ?????? ????? ??? ???????? ???? ???? ??? ????????? ?????. ??? ??????? ?????????????? ????? ????, ??? ?????????? ??????? ?????????? ??? ??? ??????????? ?????? ??? ????????? ?? ?????????? ??????? ?????? ??? ?????????? ??????. ?????? ???????? ???????????? ???????????????.
???????
? ??????? ????? ??????? (???? ??? ???????) ??????????????, ?? ????, ??????? ???????????? ????????????? ?????????. ? ??????? ????????? ??????? ???????? ???? ?? ??????? ?????????? ???????? ????????. ? NC ???????? ?????? ?? ??????????? ?? 100% ?? ???? ??? ????? ???????? ?????????????? ????????????????. ?? ??????? ??? ???????? ?????? ?? ????? ??????? ?????????? ??? ? ???????? ????????? ??? ?? ???????? ?????????????? ??? ??? NC ????????.
?????????????
???? ???????????? ??????????? ? ????????????????? ????????? ????? ????????? ??? ??? ?????????? ? ??????? ???????????? ???????, ?????? ?? ??????, ????? ?? ?????????????? ??????????? ?????????? ??????, ??? ?????? ?? ????????? ? ?? ???? ??????? ???????????. ?? ??????? ??????????? ?? ????????????? ?????? ?? ????? ??????????? ????? ??? ???? ???????????????? ???? ?? ????????????????. ???????????? LSIL ???/? ?????????????? ?????? ?? ??????????? ??? ???????? ???? ???? ????? ??????????? ????? ?? ?????????? ?????????? (??????) ??? ??? ?? ?????????? ?????????? (??????).
??????/????????????????? ????????
???? ?????? ?? ????? ????????? ??? ????? ??? ???????????? ???? ?????? ?????????? ??? ????? ??????? ?????????? ??? 50% ??? ?????? ?? ??????????? ?? 100%.
????? 9c-9 (a-b). ?????????? ?????????? (??????) ?? ?????????? ??????? ????????????? ?????????? ?? CIN3
(a) ???????? ????????? ????????? ??? ???? ?????????? ?? ??????????????? ??????? ?? ???????? ?????????. ? NC ???????? ????? ?????? ????????? ??? ?? 50% ??? ??????????? ???????
(b) ?????????? ?????? ??????? CIN3 ?? ?? ????????????? ??????? ?? ????????????? ??? ??????? ??? ?????????.
?????????????? ??????????? ?????????? ??????
????????? ????????? ?????? ????????????? ??????? ???????????? ??? ????? ?? CIN3 ??? ??? ?? CIN2 ????? ??????????????? ??? ???????? ????????????? ??? ????? NC ????????. ???????????? ????????? ???????? ??? ????? 9c-10. ???????? ?????????????? HSIL ???????????? ?? ?????????? ??????? ??? ???? ??? ?????????? ??????. ?????????????? ??????????? ?????????? ?????? ??????? ?? ???????????? ?? ???????-?????????? ??????????, ??? ???????? ?????? ?????? ???? ????????.
?? ??????? ??????????? ?????????????? ??????????? ?????????? ?????? HSIL ?????? ?? ????????? ??????? ????????? (????? 9c-11), ? ????? ?????? ?? ??????????. ?? ??????? ??????????? ?????? ?????????????? CGIN ? ????????????????? ?? ?????? ?? ???????????? ??? ?? ??????????? ?????????? ??? ??????.
????? 9c-10 (a-c) ?????????????? ??????????? ?????????? ?????? – HSIL ???? CIN3
(a) ?????????????? ??????????? ?????????? ??????, ?? ???????? ?????????????. ??????? ?????????? ????????? ???????? ??? ?????????????? ????????? ???????? ?? ?????? ??????? ?? ?????????? ??? ??? ?????.
(b) ?????????????? ??????????? ?????????? ?????? HSIL ?? ????? NC ????????: ? ??????? ???????????? ?????? ??????????? ??? ?? 50% ??? ????????. ????????? ?? ??????? ????? ??? ?????????? ??????, ? ????? ?? ??????? ????? ??????? ?? ??????? ???? ???????? ????????. ? ????????????? ???? ??? ?????? ??????? ??????? ???? ???????? ????? ??? ????????. ?????????? ??????? ??????? ????????? ?????? ??? ????????.
(c) ?? ????????????? ???????? ?? ?????????? ?? ????? ??? ????????? ?????, ??? ??????? ???????? ?????????????? HSIL
????? 9c-11 (a-b). ?????????????? ??????????? ?????????? ?????? ??? ????????? CGIN?
?????????? ?????? ?????? ????????????? ???????? ?????? ?? ?????????? ??????? ??? ??????????? ??????? ????? ????? ????????. ??? ??????? ???? ?????????????? ?? ??????????? CGIN ??? ? ???????? ???? CIN3.
?????????? ?????? ?????? ????????????? ???????? ?????? ?? ?????????? ??????? ??? ??????????? ??????? ????? ????? ????????. ??? ??????? ???? ?????????????? ?? ??????????? CGIN ??? ? ???????? ???? CIN3.
????????? ???????? ?????????????? ?????????? ?????????? ??????
????? ? NC ???????? ?????? ?? ????? ?????, ? ????????? ???????? ????? ??????? ?? ???????????? LSIL ? HSIL ???? CIN2 ? ?????????? ?????????? (??????). ? ????????? ???????? ???????????? ????????? ????????? ???? ??????? ???????????, ????????-?????????????? ??????????, ???????????? ????????????? ???????, ??? CGIN [??????? ?? ?? ???????? 10 – ???????] ???? ?? ????? HSIL ?????? ??????? ????? ?? ??????????? ?? ASC-H (??? ????????).