Efficacy of loop conization with right-angled triangular shaped excisor in patients with cervical intraepithelial neoplasia 3.
- Author:
Il Jung CHOI
1
;
Bong Gyu KWAK
;
Moon Seok CHA
Author Information
1. Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Busan, Korea. mscha@dau.ac.kr
- Publication Type:Original Article
- Keywords:
Right-angled triangular shape cone biopsy excisor;
CIN 3;
Conservative treatment
- MeSH:
Biopsy;
Cervical Intraepithelial Neoplasia*;
Conization*;
Female;
Fertility;
Follow-Up Studies;
Humans;
Hysterectomy;
Parity;
Recurrence;
Retrospective Studies;
Uterus
- From:Korean Journal of Gynecologic Oncology
2006;17(3):222-226
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To evaluate the therapeutic value of conization using right-angled triangular shape loop cone biopsy excisor in patients with CIN 3 who want preserve the uterus. METHODS: A retrospective review of 64 patients was performed who underwent therapeutic conization for CIN 3 by using right-angled triangular shape loop cone biopsy excisor from January 2000 to August 2005. RESULTS: The mean duration of 64 follow-up patients who had conization for therapeutic purpose was 21.5 months (range 10-68). Their mean age was 41.1 years old and mean parity was 1.7. Two of 64 patients had CIN 3 on exocervix margin. During the followed up period, only one person (1/64) had relapse of CIN 3, hence, a simple hysterectomy was done. CONCLUSION: Right-angled triangular shape loop cone biopsy excisor is more effective than U-shaped loop with low rate of margin positive and recurrent rate in conservative treatment in CIN 3 patients who want to preserve uterus or fertility.
