Recurrence of Dysplasia after Loop Electrosurgical Excision Procedure. |
Yong Sik Kim, Seok Mo Kim, Ho Sun Choi |
Department of Obstetrics and Gynecology, Chonnam National University Medical School, Kwangju, Korea. |
|
Abstract |
OBJECTIVE To evaluate the risk factors for high grade dysplasia after Loop electrosurgical excision procedure (LEEP). METHODS: LEEP using local anesthesia was performed on an outpatient basis in 1656 patients referred for colposcopy for an abnormal Papanicolaou smear of cervigram during a period of 7 years. We performed a cytologic smear immediately after loop excision. LEEP cone slides were reviewed to assess involvement of margins, multiple quadrants. RESULTS: One hundred seven patients (8.1%) had recurrent dysplasia and mean interval of recurrence after loop excision were 13.2 months. Greater recurrence rates were noted involving margins (36.4% of recurrent group vs. 6.7% of control group), multiple quadrants (3.1% of recurrent group vs. 1.8% of control group), and endocervix immediately after loop excision (19.5% of recurrent group vs. 1% of control group). CONCLUSION: Careful follow-up should be applied in the cases of multiple quadrants involvement, margin positivity, positive Pap result right after LEEP. |
Key Words:
LEEP, Recurrence, Risk factors |
|