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Diagnosis and Treatment of Cervical Intraepithelial Neoplasia in a Single Visit
Author(s) -
Das S.S.,
Elias A.H.
Publication year - 1998
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1998.tb03058.x
Subject(s) - medicine , colposcopy , cervical intraepithelial neoplasia , cervical cancer , carcinoma in situ , intraepithelial neoplasia , cervical carcinoma , general surgery , surgery , obstetrics , gynecology , carcinoma , cancer , prostate
EDITORIAL COMMENT— ‐Peter T. Grant, FRCS (Ed), FRACOG, CGO Gynaecological Oncologist, Gynaecological Cancer Centre, Royal Hospital for Women, New South Wales Summary We evaluated the diagnostic and therapeutic efficacy of large loop excision of the transformation zone (LLETZ) performed in the first visit (see and treat policy) as compared to LLETZ treatment performed as an interval procedure. Data of 248 patients were analyzed of which 206 patients had LLETZ. Two thirds of the procedures were performed at the first visit. Of all the women who had the ‘see and treat policy’ 94.9% were diagnosed to have cervical intraepithelial neoplasia (CIN) on histology compared to 90.8% in the interval treatment group. A total of 3 (1.4%) patients were detected to have microinvasive carcinoma. There was no difference in the immediate postoperative complication rate, overtreatment rate and need of repeat treatment in both the groups. Single visit colposcopy and loop treatment is a safe and effective option for treatment of cervical epithelial abnormalities. The experience of the colposcopist is very important.