title: See-and-treat approach to cervical intraepithelial lesions in HRH Princess Maha Chakri Sirindhorn Medical Center.
abstract: BACKGROUND
  To evaluate the overtreatment rate with the see and treat approach in the management of women with abnormal cervical cytology.
  
  
  METHODS
  A retrospective review of patients with abnormal cervical cytology who underwent S and T at MSMC between January 2008 and December 2012 was conducted. Loop electrosurgical excision procedure (LEEP), histological results, cytology and colposcopic impression were analyzed to evaluate overtreatment rate, cyto-histologic correlation and related factors.
  
  
  RESULTS
  Average age of S and T cases was 42 years. Ninety seven percents were referred from affiliated health care providers. The study revealed 83.2% patients had HSIL or higher from cervical cytology. Correlation between HSIL and final histology was relatively low at 75% compared to other studies. Overtreatment rate was 28%.
  
  
  CONCLUSIONS
  S and T was done in 197 patients in a tertiary care health facility with patient satisfaction. Overtreatment occurred, but the rate can be reduced with appropriate recommendations. HSIL Pap smears should be reexamined before S and T while low grade and lesser colposcopic impression groups should obtain conventional colposcopic approach for patient future reproductive benefit.
authors.affiliation: Gynaecologic Oncology Unit, Department of Obstetrics and Gynaecology in HRH Princess Maha Chakri Sirindhorn Medical Center (MSMC), Nakornnayok, Thailand E-mail : khunnuyai@hotmail.com.
authors.forename: Siriwan
authors.initials: S
authors.lastname: Srisuwan
authors.forename: Suttha
authors.initials: S
authors.lastname: Hamontri
authors.forename: Kittipong
authors.initials: K
authors.lastname: Kongsomboon
authors.forename: Kornkarn
authors.initials: K
authors.lastname: Bhamarapravatana
authors.forename: Komsun
authors.initials: K
authors.lastname: Suwannarurk
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002584:Cervix Uteri / Q000473:pathology / Q000601:surgery*; D015331:Cohort Studies; D003127:Colposcopy; D004598:Electrosurgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D065006:Papanicolaou Test; D018579:Patient Selection; D012189:Retrospective Studies; D065310:Squamous Intraepithelial Lesions of the Cervix / Q000473:pathology / Q000601:surgery*; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*; D014626:Vaginal Smears; D055815:Young Adult; D002578:Uterine Cervical Dysplasia / Q000473:pathology / Q000601:surgery*