Treatment of the patients with abnormal cervical cytology: a "see-and-treat" versus three-step strategy / 부인종양
Journal of Gynecologic Oncology
;
: 164-168, 2009.
Article
in English
| WPRIM
| ID: wpr-221568
ABSTRACT
OBJECTIVE:
To examine the correlation between cervical cytology and final histological results in patients who have undergone loop electrosurgical excision procedure (LEEP) with or without colposcopy-directed biopsy.METHODS:
A retrospective review was performed of 829 patients who underwent LEEP for abnormal cervical cytology at Gangnam Severance Hospital between January 2004 and December 2008. Patients were classified to three groups according to cervical cytology and also divided into two groups based on the treatment they received see-and-treat group and the standard three-step group. Final histological results were compared for the each study group.RESULTS:
There were no differences in the final histological results between see-and-treat and three-step group in patients with high-grade squamous intraepithelial lesions (HSIL) cytology (N=523) (p=0.71). However, in patients with low-grade squamous intraepithelial lesions (LSIL)/atypical squamous cells of undetermined significance (ASCUS) (N=257) or normal cytology (N=49), the final histological results were significantly different between see-and-treat and three-step group (p<0.001) and the rate of overtreatment was significantly higher in the see-and-treat group (p<0.001).CONCLUSION:
A see-and-treat protocol may be a viable alternative only in patients with HSIL cytology if colposcopic impression is suggestive of cervical intraepithelial neoplasia (CIN) 2 or 3 lesions.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Biopsy
/
Uterine Cervical Dysplasia
/
Retrospective Studies
Type of study:
Practice guideline
/
Observational study
Limits:
Humans
Language:
English
Journal:
Journal of Gynecologic Oncology
Year:
2009
Type:
Article
Similar
MEDLINE
...
LILACS
LIS