Korean J Obstet Gynecol.
2003 May;46(5):902-906.
Recurrence of Dysplasia after Loop Electrosurgical Excision Procedure
- Affiliations
-
- 1Department of Obstetrics and Gynecology, Chonnam National University Medical School, Kwangju, Korea.
Abstract
OBJECTIVE
To evaluate the risk factors for high grade dysplasia after Loop electrosurgical excision procedure (LEEP).
METHODS
LEEP using local anesthesia was performed on an outpatient basis in 1656 patients referred for colposcopy for an abnormal Papanicolaou smear of cervigram during a period of 7 years. We performed a cytologic smear immediately after loop excision. LEEP cone slides were reviewed to assess involvement of margins, multiple quadrants.
RESULTS
One hundred seven patients (8.1%) had recurrent dysplasia and mean interval of recurrence after loop excision were 13.2 months. Greater recurrence rates were noted involving margins (36.4% of recurrent group vs. 6.7% of control group), multiple quadrants (3.1% of recurrent group vs. 1.8% of control group), and endocervix immediately after loop excision (19.5% of recurrent group vs. 1% of control group).
CONCLUSION
Careful follow-up should be applied in the cases of multiple quadrants involvement, margin positivity, positive Pap result right after LEEP.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- A case of vesicovaginal fistula after loop electrosurgical excisional procedure
- Efficacy of Loop Electrosurgical Excision Procedure in the Diagnosis and Treatment of Uterine Cervical Dysplasia
- Absence of dysplasia in the excised cervix by a loop electrosurgical excision procedure in the treatment of cervical intraepithelial neoplasia
- F-18 FDG PET Images of the Cervix at Various Time Points after the Loop Electrosurgical Excision Procedure
- Current Concepts of Cervical Conization
