Predictors of recurrent/residual disease after loop electrosurgical excisional procedure

The Journal of Obstetrics and Gynaecology Research
Kenro ChikazawaRyo Konno

Abstract

The aim of this study was to identify predictors of recurrent/residual disease for management after loop electrosurgical excisional procedure. We retrospectively reviewed 178 patients with cervical intraepithelial neoplasia grade 3 and microinvasive squamous cell carcinoma who underwent the loop electrosurgical excisional procedure between April 2011 and March 2014. Endocervical/ectocervical margin status, endocervical curettage (ECC) status, and maximum width of cervical intraepithelial neoplasia were assessed. Patients were followed up for 6-12 months. Patients with endocervical margin involvement were significantly older and those with ectocervical margin involvement were significantly younger than patients with no margin involvement (P = 0.02 for both comparisons). ECC-positive patients were significantly older than ECC-negative patients (P = 0.049). There was a significant difference in the mean width of the cervical intraepithelial neoplasia between women with ectocervical involvement and those without ecto- or endocervical involvement (10.2 ± 3.1 mm vs 7.3 ± 3.5 mm, P = 0.0002). The odds ratios for possible recurrent/residual disease for endocervical involvement, ectocervical involvement, and ECC-positivity were 2.1 (0.5...Continue Reading

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Citations

Dec 8, 2016·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Kenro ChikazawaShigeru Motomatsu
Dec 10, 2019·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Rosario Lara-PeñarandaJuan P Martínez-Cendán
Jul 21, 2020·The Journal of Obstetrics and Gynaecology Research·Rosario Lara-PeñarandaJuan Pedro Martínez-Cendán
Feb 9, 2017·The Journal of Obstetrics and Gynaecology Research·Yukio SuzukiEtsuko Miyagi

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