The development of cervical intraepithelial neoplasia in three members of the same family: a case report

BackgroundCervical cancer is the fourth most common cancer and cause of cancer-related death among women globally. Familial cases of cervical cancer highlight the potential role of genetic factors in its development. This study aims to present a clinical case of cervical intraepithelial neoplasia (C...

Full description

Saved in:
Bibliographic Details
Main Authors: M. A. Vinokurov, A. V. Minaeva, G. V. Leshkina, T. N. Romanyuk, K. O. Mironov, V. G. Akimkin
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Reproductive Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/frph.2025.1542480/full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850035074360147968
author M. A. Vinokurov
A. V. Minaeva
G. V. Leshkina
T. N. Romanyuk
K. O. Mironov
V. G. Akimkin
author_facet M. A. Vinokurov
A. V. Minaeva
G. V. Leshkina
T. N. Romanyuk
K. O. Mironov
V. G. Akimkin
author_sort M. A. Vinokurov
collection DOAJ
description BackgroundCervical cancer is the fourth most common cancer and cause of cancer-related death among women globally. Familial cases of cervical cancer highlight the potential role of genetic factors in its development. This study aims to present a clinical case of cervical intraepithelial neoplasia (CIN) affecting a woman and her two daughters.Case descriptionThis report describes a familial case involving three patients diagnosed with cervical lesions: (1) Patient A: A 27-year-old woman presented with complaints of postcoital bleeding. She was diagnosed with high-grade squamous intraepithelial lesion (HSIL, CIN3). Radiowave conization of the cervix was performed, and histological examination confirmed the diagnosis of CIN3. (2) Patient B: A 25-year-old woman, the sister of Patient A, also presented with contact bleeding. She was similarly diagnosed with HSIL (CIN3). A radiowave conization procedure was performed successfully, with histopathological analysis confirming the diagnosis. (3) Patient C: A 52-year-old woman, the mother of Patients A and B, was diagnosed with low-grade squamous intraepithelial lesion (LSIL, CIN1) following cytological examination. She declined further diagnostic and therapeutic interventions. Genetic testing for all three patients revealed the presence of risk alleles associated with cervical cancer predisposition (rs10175462, rs1048943, rs4646903) and the absence of protective genotypes.DiscussionFamilial cases of CIN are rare and suggest a potential genetic predisposition to the disease. The identification of common genetic polymorphisms underscores the role of hereditary factors in cervical cancer pathogenesis. These findings emphasize the importance of incorporating family history and genetic assessments into screening, diagnosis, and treatment strategies.ConclusionThis case highlights the significant influence of genetic factors in the development of cervical intraepithelial neoplasia. It underscores the need for further research to enhance strategies for early detection, prevention, and management of cervical cancer in individuals with elevated genetic risk.
format Article
id doaj-art-2a41e5be9cac4ef499f2361a35a03b02
institution DOAJ
issn 2673-3153
language English
publishDate 2025-05-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Reproductive Health
spelling doaj-art-2a41e5be9cac4ef499f2361a35a03b022025-08-20T02:57:36ZengFrontiers Media S.A.Frontiers in Reproductive Health2673-31532025-05-01710.3389/frph.2025.15424801542480The development of cervical intraepithelial neoplasia in three members of the same family: a case reportM. A. Vinokurov0A. V. Minaeva1G. V. Leshkina2T. N. Romanyuk3K. O. Mironov4V. G. Akimkin5Central Research Institute for Epidemiology, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Moscow, RussiaMedical Institute, Peoples' Friendship University of Russia Named After Patrice Lumumba, Moscow, RussiaCentral Research Institute for Epidemiology, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Moscow, RussiaCentral Research Institute for Epidemiology, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Moscow, RussiaCentral Research Institute for Epidemiology, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Moscow, RussiaCentral Research Institute for Epidemiology, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Moscow, RussiaBackgroundCervical cancer is the fourth most common cancer and cause of cancer-related death among women globally. Familial cases of cervical cancer highlight the potential role of genetic factors in its development. This study aims to present a clinical case of cervical intraepithelial neoplasia (CIN) affecting a woman and her two daughters.Case descriptionThis report describes a familial case involving three patients diagnosed with cervical lesions: (1) Patient A: A 27-year-old woman presented with complaints of postcoital bleeding. She was diagnosed with high-grade squamous intraepithelial lesion (HSIL, CIN3). Radiowave conization of the cervix was performed, and histological examination confirmed the diagnosis of CIN3. (2) Patient B: A 25-year-old woman, the sister of Patient A, also presented with contact bleeding. She was similarly diagnosed with HSIL (CIN3). A radiowave conization procedure was performed successfully, with histopathological analysis confirming the diagnosis. (3) Patient C: A 52-year-old woman, the mother of Patients A and B, was diagnosed with low-grade squamous intraepithelial lesion (LSIL, CIN1) following cytological examination. She declined further diagnostic and therapeutic interventions. Genetic testing for all three patients revealed the presence of risk alleles associated with cervical cancer predisposition (rs10175462, rs1048943, rs4646903) and the absence of protective genotypes.DiscussionFamilial cases of CIN are rare and suggest a potential genetic predisposition to the disease. The identification of common genetic polymorphisms underscores the role of hereditary factors in cervical cancer pathogenesis. These findings emphasize the importance of incorporating family history and genetic assessments into screening, diagnosis, and treatment strategies.ConclusionThis case highlights the significant influence of genetic factors in the development of cervical intraepithelial neoplasia. It underscores the need for further research to enhance strategies for early detection, prevention, and management of cervical cancer in individuals with elevated genetic risk.https://www.frontiersin.org/articles/10.3389/frph.2025.1542480/fullcervical intraepithelial neoplasia (CIN)high grade squamous intraepithelial lesion (HSIL)cervical cancerHPV—human papillomavirusfamily case reportgenetic predisposition
spellingShingle M. A. Vinokurov
A. V. Minaeva
G. V. Leshkina
T. N. Romanyuk
K. O. Mironov
V. G. Akimkin
The development of cervical intraepithelial neoplasia in three members of the same family: a case report
Frontiers in Reproductive Health
cervical intraepithelial neoplasia (CIN)
high grade squamous intraepithelial lesion (HSIL)
cervical cancer
HPV—human papillomavirus
family case report
genetic predisposition
title The development of cervical intraepithelial neoplasia in three members of the same family: a case report
title_full The development of cervical intraepithelial neoplasia in three members of the same family: a case report
title_fullStr The development of cervical intraepithelial neoplasia in three members of the same family: a case report
title_full_unstemmed The development of cervical intraepithelial neoplasia in three members of the same family: a case report
title_short The development of cervical intraepithelial neoplasia in three members of the same family: a case report
title_sort development of cervical intraepithelial neoplasia in three members of the same family a case report
topic cervical intraepithelial neoplasia (CIN)
high grade squamous intraepithelial lesion (HSIL)
cervical cancer
HPV—human papillomavirus
family case report
genetic predisposition
url https://www.frontiersin.org/articles/10.3389/frph.2025.1542480/full
work_keys_str_mv AT mavinokurov thedevelopmentofcervicalintraepithelialneoplasiainthreemembersofthesamefamilyacasereport
AT avminaeva thedevelopmentofcervicalintraepithelialneoplasiainthreemembersofthesamefamilyacasereport
AT gvleshkina thedevelopmentofcervicalintraepithelialneoplasiainthreemembersofthesamefamilyacasereport
AT tnromanyuk thedevelopmentofcervicalintraepithelialneoplasiainthreemembersofthesamefamilyacasereport
AT komironov thedevelopmentofcervicalintraepithelialneoplasiainthreemembersofthesamefamilyacasereport
AT vgakimkin thedevelopmentofcervicalintraepithelialneoplasiainthreemembersofthesamefamilyacasereport
AT mavinokurov developmentofcervicalintraepithelialneoplasiainthreemembersofthesamefamilyacasereport
AT avminaeva developmentofcervicalintraepithelialneoplasiainthreemembersofthesamefamilyacasereport
AT gvleshkina developmentofcervicalintraepithelialneoplasiainthreemembersofthesamefamilyacasereport
AT tnromanyuk developmentofcervicalintraepithelialneoplasiainthreemembersofthesamefamilyacasereport
AT komironov developmentofcervicalintraepithelialneoplasiainthreemembersofthesamefamilyacasereport
AT vgakimkin developmentofcervicalintraepithelialneoplasiainthreemembersofthesamefamilyacasereport