Conservative management of patients with histological incomplete excision of cervical intraepithelial neoplasia after large loop excision of transformation zone
Chan, K.S.; Yu, K.M.; Lok, Y.H.; Sin, S.Y.; Tang, L.C.
Chinese Medical Journal 110(8): 617-619
1997
ISSN/ISBN: 0366-6999 PMID: 9594266 Document Number: 473270
Objective: To evaluate conservative management of patients with histological incomplete excision of CIN after large loop excision of transformation zone (LLETZ). Methods: Two hundred and seventeen patients with high grade CIN were treated with LLETZ from October 1, 1992 to December 31, 1994. Fifty-three patients (24.4%) had incomplete excision on histology. AR patients were followed up cytologically every 3 to 6 months during the first 18 months and then yearly till December 1996. Those patients with positive endocervical margins were followed up with both cervical smear and endocervical smear. Results: The mean follow-up duration was 30.4 months. Ten patients were found to have persistent or recurrent disease. Five patients had second LLETZ and complete excision was achieved in 4 of them, one patient had cone biopsy and two had hysterectomy. One patient was found to have stage I a cervical cancer. Conclusion: A report of incomplete excision of CIN after LLETZ calls for follow-up with cytology and colposcopy and not aggressive retreatment.