High-grade squamous intraepithelial lesion with endocervical cone margin involvement after cervical loop electrosurgical excision: what should a clinician do?

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dc.contributor.authorSiriaree, Sitthichaen_US
dc.contributor.authorSrisomboon, Jatupolen_US
dc.contributor.authorKietpeerakool, Chumnanen_US
dc.contributor.authorKhunamornpong, Surapanen_US
dc.contributor.authorSiriaunkgul, Sumaleeen_US
dc.contributor.authorNatpratan, Apapornen_US
dc.contributor.authorPratheapjarus, Sumonen_US
dc.contributor.authorFutemwong, Amornraten_US
dc.contributor.authorChantarasenawong, Urapornen_US
dc.date.accessioned2009-05-27T17:31:24Z
dc.date.available2009-05-27T17:31:24Z
dc.date.issued2006-07-25en_US
dc.descriptionAsian Pacific Journal of Cancer Prevention.en_US
dc.description.abstractThis study was undertaken to evaluate the incidence and severity of residual lesions in women featuring high-grade squamous intraepithelial lesion (HSIL) histology with endocervical cone margin involvement after the loop electrosurgical excision procedure (LEEP). The medical records of women undergoing LEEP at Chiang Mai University Hospital between October 2004 and February 2006 were retrospectively reviewed and 74 cases were identified. Nineteen women were excluded because of loss to follow-up. The remaining 4 were referred to other hospitals and 2 declined re-excision, leaving a study population of 55 women for analysis. Mean age+/-SD of the patients was 48.5+/-8.9 years. Residual lesions were noted in 26 (47.3%, 95%CI=33.7 to 61.2). Four (7.3%) had unrecognized invasive cervical carcinoma in subsequent specimens. In conclusion, approximately half of women with positive endocervical cone margins after LEEP for HSIL histology have residual disease. Repeat diagnostic excision is recommended for evaluation of lesions and severity.en_US
dc.description.affiliationDepartment of Obstetrics and Gynecology, Obstetrics and Gynecologic Emergency Room Unit, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand. ssiriare@mail.med.cmu.ac.then_US
dc.identifier.citationSiriaree S, Srisomboon J, Kietpeerakool C, Khunamornpong S, Siriaunkgul S, Natpratan A, Pratheapjarus S, Futemwong A, Chantarasenawong U. High-grade squamous intraepithelial lesion with endocervical cone margin involvement after cervical loop electrosurgical excision: what should a clinician do? Asian Pacific Journal of Cancer Prevention. 2006 Jul-Sep; 7(3): 463-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/37326
dc.language.isoengen_US
dc.source.urihttps://www.apocp.orgen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshCervical Intraepithelial Neoplasia --pathologyen_US
dc.subject.meshConizationen_US
dc.subject.meshElectrosurgeryen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIncidenceen_US
dc.subject.meshIntraoperative Complications --epidemiologyen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNeoplasm Recurrence, Local --pathologyen_US
dc.subject.meshNeoplasm Stagingen_US
dc.subject.meshNeoplasm, Residual --pathologyen_US
dc.subject.meshNeoplasms, Squamous Cell --pathologyen_US
dc.subject.meshPrognosisen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshUterine Cervical Neoplasms --pathologyen_US
dc.titleHigh-grade squamous intraepithelial lesion with endocervical cone margin involvement after cervical loop electrosurgical excision: what should a clinician do?en_US
dc.typeJournal Articleen_US
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