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Loop electrosurgical excision procedure in Greek patients with vulvar intraepithelial neoplasia
E Terzakis1, G Androutsopoulos, G Derdelis
12nd Department of Gynaecology, St. Savvas Anticancer-Oncologic Hospital, Athens, Greece.
Objective:
The aim of our study was to evaluate the therapeutic effectiveness of loop electrosurgical excision procedure (LEEP) in Greek patients with vulvar intraepithelial neoplasia (VIN).
Materials And Methods:
Between January 2002 and January 2009, 55 women with histologically confirmed VIN usual type were included in our study. For the LEEP procedure we used a high frequency electrosurgical unit with at least 80 W output. The tissue was removed to the second surgical plane. Statistical analyses were performed using the SPSS-13 for Windows.
Results:
Complete response rate at 12-month follow-up was 100%. Complete response rate at 48 months of follow-up was 80%. Recurrence rate at 48 months of follow-up was 20%.
Conclusion:
LEEP may constitute a valuable excisional method for the treatment of VIN. It provides an interpretable specimen of the whole lesion within a few minutes. It needs a short period of training and has low cost.
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