A "See and Treat" approach for high grade squamous intraepithelial lesion on cervical cytology.
Article
in English
| IMSEAR
| ID: sea-43715
ABSTRACT
OBJECTIVE:
To examine the final histologic findings as well as to correlate colposcopic and histologic findings in patients who had a high-grade squamous intraepithelial lesion (HGSIL) on the Pap smear and underwent colposcopy followed by LEEP on the "See and Treat" basis without intervening colposcopically directed biopsy. MATERIAL ANDMETHOD:
The medical records of patients with HGSIL on cytology who underwent LEEP without prior cervical biopsy at Chiang Mai University Hospital over a 5-month period were reviewed. The authors summarized the final LEEP histologic results and correlated colposcopic and histologic findings in these patients.RESULTS:
Of 55 patients who had a see-and-treat LEEP, 53 patients (96%) had a high-grade intraepithelial lesion or higher. There were 11 patients (20%) who had invasive squamous cell carcinoma. Of 4 patients with a low-grade lesion on colposcopic examination, all had a high-grade lesion or higher on final histology. Forty-four patients (96%) with high-grade impression on colposcopy had high-grade or more severe lesion on the final histologic diagnosis.CONCLUSION:
For patients with a high-grade lesion on the Pap smear, LEEP according to the "See and Treat" approach appeared to be a reasonable alternative to conventional colposcopically directed biopsy, especially in low resource settings.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Vaginal Smears
/
Female
/
Humans
/
Uterine Cervical Dysplasia
/
Uterine Cervical Neoplasms
/
Colposcopy
/
Adult
/
Electrosurgery
/
Middle Aged
Language:
English
Year:
2004
Type:
Article
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