Persistent and recurrent cervical dysplasia after loop electrosurgical excision procedure.
OBJECTIVE
Our objective was to determine whether demographic, colposcopic, and pathologic variables are predictive of recurrent cervical dysplasia.


METHODS
A retrospective review of patients who underwent loop electrosurgical excision procedure (LEEP) was performed. The medical records of the subjects were reviewed to identify demographic, pathologic, and procedural characteristics that predict recurrent dysplasia.


RESULTS
A total of 514 subjects were identified who underwent LEEP between 1996 and 2003. Multivariate analysis revealed that advanced age, immunosuppression, and a positive endocervical margin were associated with recurrent dysplasia.


CONCLUSIONS
Demographic and pathologic data can be used to predict the risk of recurrence of cervical dysplasia after LEEP.
Brockmeyer
Amy D
AD
Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Wright
Jason D
JD
Gao
Feng
F
Powell
Matthew A
MA
D000375:Aging; D002584:Cervix Uteri / Q000473:pathology; D015331:Cohort Studies; D004598:Electrosurgery; D005260:Female; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects; D008499:Medical Records; D015999:Multivariate Analysis; D011184:Postoperative Period; D012008:Recurrence; D012189:Retrospective Studies; D002578:Uterine Cervical Dysplasia / Q000473:pathology / Q000601:surgery*