Study of histopathology reports of loop electrosurgical excision procedure of cervical transformation zone and their correlation with preprocedural cervical biopsy and/or cytology: An audit

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dc.contributor.authorDeodhar, KKen_US
dc.contributor.authorBanerjee, Den_US
dc.contributor.authorRekhi, Ben_US
dc.contributor.authorMenon, Sen_US
dc.contributor.authorPathuthara, S.en_US
dc.date.accessioned2023-08-10T07:32:18Z
dc.date.available2023-08-10T07:32:18Z
dc.date.issued2022-06
dc.description.abstractIntroduction: Loop electrosurgical procedure of the transformation zone of the cervix (LEEP) is the preferred method for many investigators for early detection and treatment of high grade intraepithelial neoplasia(HGCIN). Histopathology reports of LEEP should contain information about the diagnosis, presence or absence of neoplasia ( with its grade) and comment on excison margins. Aim: Our aim was to study LEEP reports for its contents and to see their correlation with preprocudure histology and/or cytology report. Results: Between 2011 and 2017, 44 LEEP reports were archived and studied for their contents from our records. Slides were not reviewed. Mean age was 47.66 years (median 47 years). Forty two (( 95.45%) reports mentioned that all the tissue was examined. Deep cut examination was mentioned in 17/44 cases (38.64%). The concordance rate between LEEP and preprocudure histology and /or cytology for CIN II plus diagnosis is 65.9%. A strict definition is used. If, however, diagnoses between inflammation and CIN I, ASC-H and inflammation, and ASC-H and CIN I are considered non discordant, then the concordance rate rises to 72.7 %. The breakup of discordant cases is given. Conclusion: Literature shows wide range of concordance due to variable definitions and variety of reasons; possible reasons are discussed.en_US
dc.identifier.affiliationsDepartment of Pathology, Narayana Hridayalaya, Kolkata, Indiaen_US
dc.identifier.affiliationsConsultant Pathologist, Narayana Hridayalaya, Kolkata, Indiaen_US
dc.identifier.affiliationsLaboratory Manager, Cytopathology, Tata Memorial Hospital, Homi Bhabha National Institute (HBNI), Mumbai, Maharashtra, Indiaen_US
dc.identifier.citationDeodhar KK, Banerjee D, Rekhi B, Menon S, Pathuthara S.. Study of histopathology reports of loop electrosurgical excision procedure of cervical transformation zone and their correlation with preprocedural cervical biopsy and/or cytology: An audit. Indian Journal of Pathology & Microbiology. 2022 Jun; 65(2): 392-395en_US
dc.identifier.issn0377-4929
dc.identifier.issn0974-5130
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/223238
dc.languageenen_US
dc.publisherWolters Kluwer - Medknowen_US
dc.relation.issuenumber2en_US
dc.relation.volume65en_US
dc.source.urihttps://doi.org/10.4103/IJPM.IJPM_944_20en_US
dc.subjectCINen_US
dc.subjectHSILen_US
dc.subjectLEEPen_US
dc.titleStudy of histopathology reports of loop electrosurgical excision procedure of cervical transformation zone and their correlation with preprocedural cervical biopsy and/or cytology: An auditen_US
dc.typeJournal Articleen_US
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