Analysis and outcome of 502 cases of laser excision cone (LEC) at the Samaritan Hospital for Women, London.
When performed based on cytology, histological accuracy of the laser cone specimen improved with the more severe cytology. The incidence of adenocarcinoma in situ is 1.0%. With and without residual disease, the rate of abnormal cytology after laser excision cone are 0.6% and 1.6% respectively. There is good correlation between colposcopic biopsy and cone specimen in the more severe lesions. Out of 139 cases of incomplete excision, only 3 cases had abnormal cytology at follow-up. The complication rates are very low.
Yahya
A A
AA
Department of Obstetrics and Gynaecology, Medical Faculty, National University of Malaysia, Kuala Lumpur.
McIndoe
G A
GA
Mason
W P
WP
D002278:Carcinoma in Situ / Q000473:pathology / Q000601:surgery*; D003127:Colposcopy; D005260:Female; D006801:Humans; D007044:Hysterectomy; D053685:Laser Therapy; D012189:Retrospective Studies; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*