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ID 113734
Author
Keywords
Cervical intraepithelial neoplasia
Colposcopy
Electrosurgery
Papanicolaou test
Recurrence
Uterine cervical neoplasms
Content Type
Journal Article
Description
Purpose of investigation: To evaluate the safety and efficacy of loop electrosurgical excision procedure (LEEP) biopsy using a "see-and-treat" strategy, and compare outcomes after "LEEP biopsy, inpatient LEEP and ablation, and inpatient conization with cervical intraepithelial neoplasia (CIN) grade 2/3. Materials and Methods: The authors performed a retrospective study including 300 women with CIN2/3 who were followed up ≥ 6 months following outpatient LEEP/inpatient LEEP and ablation/inpatient conization. Recurrence, additional treatment for recurrence, pregnancy, and term delivery following treatment were evaluated. Results: During the median follow-up duration of 22 months, recurrences were significantly more common following LEEP biopsy (39%) compared to LEEP and ablation (13%) and conization (16%) and were managed by repeat LEEP. Pregnancy and full-term delivery rates following LEEP biopsy were significantly higher. Conclusion: "See-and-treat" LEEP biopsy was safely performed in the outpatient department. Pregnancy rates and full-term deliveries following LEEP biopsy appear favorable.
Journal Title
European Journal of Gynaecological Oncology
ISSN
03922936
NCID
AA10623060
Publisher
7847050 Canada
Volume
39
Issue
6
Start Page
958
End Page
962
Published Date
2018
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences
University Hospital