title: Three-step approach versus see-and-treat approach in patients with cytological abnormalities.
abstract: The aim of this study was to compare the results of see-and-treat procedure with the classical three-step procedure in terms of initial cytology and LEEP reports. We searched the pathology charts of patients that had LEEP were searched retrospectively and then they were divided into 2 groups according to the presence or absence of a cervical biopsy before LEEP. There were 116 patients in the study. Of the patients with ASCUS/LSIL cytology and a positive cervical biopsy 48.4% had CIN 2-3 at LEEP, in contrast only 19% of the patients without a prior cervical biopsy had CIN 2-3 at LEEP (p=0.031); there was no statistically significant difference between the 2 procedures in patients with a HSIL and ASC-H smear result (p=0.726 and p=1.0 respectively). In conclusion patients with ASC-H and HSIL cytology see-and-treat approach seems more advantageous, avoids delay in treatment, noncompliance and risk of skipping lesions at biopsy.
authors.affiliation: Department of Obstetrics and Gynecology, Istanbul Bilim University Istanbul, Turkey.
authors.forename: Nilgun
authors.initials: N
authors.lastname: Guducu
authors.forename: Guliz
authors.initials: G
authors.lastname: Sidar
authors.forename: Nuray
authors.initials: N
authors.lastname: Bassullu
authors.forename: Ilknur
authors.initials: I
authors.lastname: Turkmen
authors.forename: Ilkkan
authors.initials: I
authors.lastname: Dunder
keywords: CIN; See-and-treat; colposcopy; overtreatment