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Electrosurgical loop excision/conisation for cervical intraepithelial neoplasia in an algorithm that excludes punch
D Socolov1, G Anton, A C Anton
1Department Obstetrics and Gynecology, University of Medicine and Pharmacy "Gr.T. Popa", Iasi, Romania. socolov@hotmail.com
Unlabelled:
This study aims to evaluate the use of LLETZ/conisation in an algorithm that excludes the colposcopically guided biopsy.
Material And Methods:
The study was carried out on 210 patients with LLETZ/conisation, performed in our service in 2 years. They were selected by pap smear, colposcopy, HPV genotyping, without punch biopsy.
Results:
The pathological results on the excision specimen showed: benign lesion 10%, CIN 1/condyloma 58%, CIN 2 18%, CIN 3/CIS 11%, microinvasion 2% and invasion 1%. The Pap test showed: HGSIL 27%, LGSIL 56%, ASCUS 13%, and normal/benign in 4%. The therapeutic efficiency of the excisional treatment showed that there was a 9.5% excessive treatment, 14.8 residual lesions, 3 cases of hemorrhage, 2 cervical stenosis, and 7 cases with specimen alteration that made the pathological diagnostic difficult or impossible. In conclusion, the LLETZ/conisation are ambulatory procedures with an acceptable rate of over-treatment and residual lesions, and reduced rate of complication.
