Colposcopic assessment and outcome in low grade cervical intraepithelial neoplasia treated with loop electrosurgical excision procedure
Ș. Paitici, C. Berceanu, C.V. Obleaga, E. Brătilă, R, Ciortea, M.M. Cîrstoiu, R.E. Bohîlțea, S. Berceanu, C. Mehedințu
Abstract: The aim of the research was to assess the outcome of persistent (≥two years) low-grade cervical intraepithelial
neoplasia (CIN 1) medicated with loop electrosurgical excision procedure (LEEP). An analysis of 38 topics with persistent
biopsy-confirmed CIN 1 diagnosed after low-grade squamous intraepithelial lesion (LSIL) or atypical squamous cells
of undetermined significance (ASC-US) on Pap test and treated using LEEP was performed. Post-LEEP follow-up were
scheduled in 6 months, 1 year, and yearly thereafter: cytology, colposcopy, and plasma diagnostic examinations. There
were 38 LSIL patients treated with LEEP conization. About 6 patients were excluded from the study due to subsequent
hysterectomy and 2 patients never attended the follow-up schedule in the rest. The remaining 30 patients were
retrospective studied for the incidence of recurrent rate. The mean age of the patient was 44 years. About 50% of patients
were multiparity and nearly one - third used oral contraceptive pill. The results of this study suggest that the incidence
of CIN 2+ lesions during follow-up of persistent biopsy-confirmed CIN 1 after ASC-US/LSIL treated by LEEP is very low.
DOI:10.18643/gieu.2017.141