Recurrence of Dysplasia after Loop Electrosurgical Excision Procedure.
- Author:
Yong Sik KIM
1
;
Seok Mo KIM
;
Ho Sun CHOI
Author Information
1. Department of Obstetrics and Gynecology, Chonnam National University Medical School, Kwangju, Korea.
- Publication Type:Original Article
- Keywords:
LEEP;
Recurrence;
Risk factors
- MeSH:
Anesthesia, Local;
Colposcopy;
Follow-Up Studies;
Humans;
Outpatients;
Papanicolaou Test;
Recurrence*;
Risk Factors
- From:Korean Journal of Obstetrics and Gynecology
2003;46(5):902-906
- CountryRepublic of Korea
- Language:Korean
-
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.
