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Management of 633 cervical intraepithelial neoplasias by CO 2 laser: Persistent diseases and recurrences
Author(s) -
Sadoul George D.,
Beuret Thérèse M.
Publication year - 1986
Publication title -
lasers in surgery and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.888
H-Index - 112
eISSN - 1096-9101
pISSN - 0196-8092
DOI - 10.1002/lsm.1900060204
Subject(s) - colposcopy , medicine , lesion , precancerous lesion , cervical intraepithelial neoplasia , pathology , cervical cancer , cancer
During the past 6 years, we have managed 633 cervical intraepithelial neoplasias with the Co 2 laser. If the lesion is located on the ectocervix, the CO 2 laser is used to vaporize it under the microscope. If the lesion is located in the endocervical canal, the CO 2 laser is used to excise a cylinder‐shaped tissue with a handpiece. Colposcopic examination is performed 21 days after treatment. Persistent disease is recognized at this examination; healing is obtained spontaneously in 66% of those with persistent disease without second treatment. There were eight with recurrent disease with abnormal Pap tests and abnormal colposcopic findings, and 12 with recurrent disease with abnormal Pap tests and normal colposcopic findings (recurrent koilocytis cells). After laser treatment cervical function was good and pregnancies were normal.