Local cervical treatment for squamous intraepithelial lesion (SIL) or cervical intraepithelial neoplasia (CIN) removes or ablates a cone-shaped or dome-shaped part of the cervix that contains abnormal cells. This Series paper introduces the 2022 terminology for cone dimensions after local conservative treatment for SIL, CIN, or early invasive cervical cancer. The terminology was prepared by the Nomenclature Committee of the European Society of Gynaecologic Oncology, the European Federation for Colposcopy, the International Federation of Cervical Pathology and Colposcopy, and the European Society of Pathology. Cone length should be tailored to the type of transformation zone. Treatment of SIL or CIN is associated with an increased risk of preterm birth, which escalates with increasing cone length. There is a lack of agreement regarding terms used to report excised specimen dimensions both intraoperatively and in the pathology laboratory. Consensus is needed to make studies addressing effectiveness and safety of SIL or CIN treatment comparable, and to facilitate their use to improve accuracy of antenatal surveillance and management. This Series paper summarises the current terminology through a review of existing literature, describes new terminology as agreed by a group of experts from international societies in the field of cervical cancer prevention and treatment, and recommends use of the new terminology that will facilitate communication between clinicians and foster more specific treatment guidelines that balance obstetrical harm against therapeutic effectiveness.

针对鳞状上皮内病变 (SIL) 或宫颈上皮内瘤变 (CIN) 的局部宫颈治疗可去除或消融包含异常细胞的宫颈锥形或圆顶形部分。本系列论文介绍了 SIL、CIN 或早期浸润性宫颈癌局部保守治疗后锥体尺寸的 2022 术语。该术语由欧洲妇科肿瘤学会命名委员会、欧洲阴道镜检查联合会、国际宫颈病理学和阴道镜检查联合会以及欧洲病理学会制定。锥体长度应根据转化区的类型进行调整。SIL 或 CIN 的治疗与早产风险增加有关，这种风险随着锥体长度的增加而升高。在术中和病理实验室中用于报告切除标本尺寸的术语缺乏一致意见。需要达成共识，以使有关 SIL 或 CIN 治疗的有效性和安全性的研究具有可比性，并促进其用于提高产前监测和管理的准确性。本系列文章通过对现有文献的回顾总结了当前的术语，描述了一组国际社会在宫颈癌预防和治疗领域的专家一致同意的新术语，并建议使用新的术语，以促进临床医生之间的沟通并制定更具体的治疗指南，以平衡产科伤害与治疗效果。