The case for conservative management of “incomplete excision” of CIN after laser conization

Alberto Lopes; Philip Morgan; John Murdoch; Benjamin Piura; John M. Monaghan

doi:10.1006/gyno.1993.1116

The case for conservative management of “incomplete excision” of CIN after laser conization

Alberto Lopes, Philip Morgan, John Murdoch, Benjamin Piura, John M. Monaghan

Research output: Contribution to journal › Article › peer-review

52 Scopus citations

Abstract

Three hundred thirteen laser cone biopsies were performed for cervical intraepithelial neoplasia (CIN) over a 4-year period. The mean age of the patients was 39.9 years and average cytology follow-up was just under 3 years. Six patients defaulted colposcopic review and were excluded from analysis. Of the 75 cases with CIN extending to the endocervical resection margin, 9 (12%) were found to have residual disease. Only 2 (3.6%) of 56 cases with CIN extending to the ectocervical margin had residual CIN detected. In the 176 cases in which the CIN lesion was excised completely there have been no cases of residual CIN. The overall detection of residual disease was 3.6%. Further surgery in those cases with CIN extending to the resection margin is excessive. These patients should be managed conservatively with regular cytological follow-up.

Original language	English
Pages (from-to)	247-249
Number of pages	3
Journal	Gynecologic Oncology
Volume	49
Issue number	2
DOIs	https://doi.org/10.1006/gyno.1993.1116
State	Published - 1 Jan 1993
Externally published	Yes

ASJC Scopus subject areas

Oncology
Obstetrics and Gynecology

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abstract = "Three hundred thirteen laser cone biopsies were performed for cervical intraepithelial neoplasia (CIN) over a 4-year period. The mean age of the patients was 39.9 years and average cytology follow-up was just under 3 years. Six patients defaulted colposcopic review and were excluded from analysis. Of the 75 cases with CIN extending to the endocervical resection margin, 9 (12%) were found to have residual disease. Only 2 (3.6%) of 56 cases with CIN extending to the ectocervical margin had residual CIN detected. In the 176 cases in which the CIN lesion was excised completely there have been no cases of residual CIN. The overall detection of residual disease was 3.6%. Further surgery in those cases with CIN extending to the resection margin is excessive. These patients should be managed conservatively with regular cytological follow-up.",

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AU - Murdoch, John

AU - Piura, Benjamin

AU - Monaghan, John M.

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AB - Three hundred thirteen laser cone biopsies were performed for cervical intraepithelial neoplasia (CIN) over a 4-year period. The mean age of the patients was 39.9 years and average cytology follow-up was just under 3 years. Six patients defaulted colposcopic review and were excluded from analysis. Of the 75 cases with CIN extending to the endocervical resection margin, 9 (12%) were found to have residual disease. Only 2 (3.6%) of 56 cases with CIN extending to the ectocervical margin had residual CIN detected. In the 176 cases in which the CIN lesion was excised completely there have been no cases of residual CIN. The overall detection of residual disease was 3.6%. Further surgery in those cases with CIN extending to the resection margin is excessive. These patients should be managed conservatively with regular cytological follow-up.

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The case for conservative management of “incomplete excision” of CIN after laser conization

Abstract

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