[Electrosurgical loop excision of the transformation zone in treatment of cervix neoplasia].
100 patients with CIN on referral Pap and with a distinct cervical lesion on colposcopy were treated with the loop electrosurgical excisional procedure (LEEP). Compared with 60 women who underwent cold-knife conization, the number of lesions classified as CIN-3 or more did not differ between the two groups (53% vs 53.3%). Severe haemorrhage and cervical stenosis were only observed after conization. Involvement of resection margins was found in 18% of all LEEP and in 16.7% of all cone biopsies. 3-12 months after LEEP the rate of cytologically and biopsy proven neoplasia was 2.2%. LEEP is a safe and effective procedure and should be used as the treatment of choice for distinct cervical lesions.
Petry
K U
KU
Abt. für spezielle Onkologie, Frauenklinik, Medizinische Hochschule Hannover.
Glaubitz
M
M
Maschek
H
H
Böhmer
G
G
Linge
G
G
Kühnle
H
H
D001706:Biopsy; D019092:Conization / Q000295:instrumentation; D004564:Electrocoagulation / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006801:Humans; D009367:Neoplasm Staging; D027383:Papillomaviridae; D030361:Papillomavirus Infections / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000473:pathology; D014412:Tumor Virus Infections / Q000473:pathology / Q000601:surgery; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*; D014626:Vaginal Smears; D014945:Wound Healing / Q000502:physiology; D002578:Uterine Cervical Dysplasia / Q000473:pathology / Q000601:surgery*