Efficacy of LLETZ in the Management of Cervical Intraepithelial Neoplasia.

Park, M H; Lee, J Y; Park, E S; Kim, J H

Original Article

Korean Journal of Obstetrics & Gynecology 1999;42(7):1478-1483.
Published online January 1, 2001.

Efficacy of LLETZ in the Management of Cervical Intraepithelial Neoplasia.

Abstract

OBJECTIVE
This study was performed to demonstrate efficacy of LLETZ in the treatment of CIN. METHOD: One hundred patients with dysplasia diagonsed by colposcopically -directed punch biopsy underwent the LLETZ from April, 1993 to December, 1997 at Gynecologic department of Il Sin Christian Hospital. RESULTS: The comparison between the diagnosis of punch biopsy and that of LLETZ showed fair agreement with 48%[48/100.table3] of cases. The abnormal lesion was underestimated by punch biopsy in 11% of cases. Of them, severe dysplasia was 2 cases and CIS was 4 cases. As the dysplasia lesion was getting severe, margin involvent rate was increased, but there was no relation to recurrence. The 2 case of 90 fallowed up from 3 months to 12 months were reccured after LLETZ. Complication was few. CONCLUSION: LLETZ allowed more acurate histologic examination of the CIN lesion than punch biopsy and showed good result of treatment without complication.

Key Words: CIN, Punch biopsy, LLETZ