Laser treatment of cervical intraepithelial neoplasia in an office setting.
One hundred eighty-six patients underwent carbon dioxide laser treatment of cervical intraepithelial neoplasia. Both vaporization and excisional procedures were performed in an office setting without difficulty. Thirty-nine patients (36.4%) had grade 1, 38 (35.6%) had grade 2, and 30 (28%) had grade 3. Among 107 patients followed up for at least 6 months, there were two treatment failures (5.1%) in the grade 1 group and no treatment failures for grades 2 and 3. The overall success rate for all grades of cervical intraepithelial neoplasia was 98% for a single laser treatment. Our ability to use the laser to excise a specimen, as well as to treat large and endocervical lesions, allowed the office treatment of many patients who would otherwise have required hospitalization.
D000556:Ambulatory Surgical Procedures; D002278:Carcinoma in Situ / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy; D013997:Time Factors; D002583:Uterine Cervical Neoplasms / Q000601:surgery*