Efficacy of Loop Electrosurgical Excision Procedure [LEEP] in the Diagnosis and Treatment of Abnormal Cervical Lesions

Park, J W; Jang, S H; Jo, Y C; Koh, J H; Kim, Y B; Lee, E S; Park, S K

Abstract

OBJECTIVES
The purpose of this retrospective study was to assess the efficacy of Loop Electorsurgical Excision Procedure in the diagnosis and in the treatment of abnormal cervical cytology.
METHODS
A total of 88 patients with abnormal cervical cytology who underwent the LEEP at our hospital between January, 1997, and January, 1998 participated this study. This study was conducted comparing abnormal cervical cytology with histologic evaluation after LEEP. RESULT: 1. The same histologic findings between abnormal cervical cytology and LEEP was 51.2%. The higher grade of LEEP than abnormal cervical cytology was 15.9%, wheres the lower grade was 32.9%. 2. 38 patients were diagnosed with HSIL in cervical cytology. Only 4 patients of them were reported for microinvasive or invasive lesions. It is apparent from these facts that a single therapy with LEEP proved effective in 34 women with HSIL [89.5%]. 3. 56 patients were diagnosed higher than CIN II and among them 38 patients underwent hysterectomy. In histologic comparisons between LEEP and hysterectomy, there were only 4 patients who had more advanced diagnosis after operation. But, further treatment was not need any more. 4. In complications of LEEP, 8 patients [9.1%] complaint lower abdominal discomfort and 20 patients [13.6%] complaint vaginal bleeding in the area of procedure. However, none of these patients need further treatment or transfusion.
CONCLUSIONS
We concluded that cervical conizaton with LEEP was available for diagnosis and treatment of abnormal cervical cytology. We can recommended that this procedure is priority to hysterectomy in cervical cancer.