Related Experiment Videos
Outpatient surgery in gynecologic oncology
1Division of Obstetric and Gynecologic Pathology and Cytology, Sloane Hospital for Women, New York, NY 10032.
Current Opinion in Obstetrics & Gynecology
|June 1, 1993
Summary
Surgical management for human papillomavirus (HPV)-related anogenital lesions has shifted. Excisional procedures, particularly loop electrosurgical excision, are now preferred over ablative methods for precursor lesions.
Area of Science:
- Gynecologic Oncology
- Dermatologic Surgery
- Infectious Disease
Background:
- Anogenital lesions caused by human papillomavirus (HPV) are common.
- Concerns exist regarding the potential for invasive cancers to be misdiagnosed as precursor lesions.
- Previous management often involved ablative procedures.
Purpose of the Study:
- To review the recent evolution in surgical management of anogenital HPV-related lesions.
- To highlight the shift towards excisional procedures for precursor lesions.
- To discuss the role of loop electrosurgical excision procedure (LEEP).
Main Methods:
- Review of recent surgical trends and recommendations for anogenital HPV lesions.
- Comparison of ablative versus excisional techniques.
- Evaluation of cold-knife, CO2 laser, and electrosurgical excision methods.
Main Results:
- A significant shift towards excisional procedures for HPV-related precursor lesions has occurred.
- Cold-knife and CO2 laser excisions were initially recommended.
- Loop electrosurgical excision procedure (LEEP) has emerged as the preferred method, despite some limitations.
Conclusions:
- The management of anogenital HPV lesions has evolved towards excisional techniques.
- LEEP is now the recommended procedure of choice for precursor lesions.
- Continued evaluation of LEEP's clinical utility is warranted.