1. Loop Electrosurgical Excision Procedure in Cervical Intraepithelial Neoplasia.
- Author
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Maharjan, Rima, Thapa, B. K., Chitrakar, N. S., Pariyar, J., Shrestha, I., Joshi, A. P., Maharjan, P., Neupane, S., and Koirala, S.
- Subjects
LOOP electrosurgical excision procedure ,TREATMENT of cervical intraepithelial neoplasia ,HISTOPATHOLOGY - Abstract
Aims: To evaluate the treatment outcome and acceptance of LEEP in precancerous cervical lesions. Methods: ON is the pre-malignant cervical lesion that can be treated early and slow to progress to invasive disease. Among various treatment modalities for ON, LEEP has the advantage of treatment with tissue diagnosis. Results: Highest percentage of ON, 32.14% (9) was seen among 30-39 years age with 16 (57.14%) of parity three and more. 17 (60.71%) presented clinic with symptoms (lower abdominal, backpain, pervaginal discharge) while 11 (39.28%) were diagnosed from routine Pap test. Histopathology revealed four (14.28%) CIN 1, eight (28.57%) CIN2,11(39.28%) CIN 3, two adenocarcinoma in situ, one of invasive squamous cell carcinoma, chronic cervicitis and atrophic change with no dysplasia. Margins were negative (satisfactory) in 20 (71.42%) and positive in eight (28.57%) with endocervical involvement in two that required second LEEP while one underwent radical hysterectomy for final diagnosis of invasive squamous cell carcinoma. Conclusions: Hysterectomy is a radical procedure for preinvasive cervical lesions that can be treated with simple procedure like LEEP that saves time and financial resources. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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