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- Title
Long-term follow-up after large-loop excision of the transformation zone: evaluation of 22 years treatment of high-grade cervical intraepithelial neoplasia.
- Authors
van Hamont, D; van Ham, M A P C; Struik-van der Zanden, P H T H; Keijser, K G G; Bulten, J; Melchers, W J G; Massuger, L F A G
- Abstract
Early treatment of cervical intraepithelial neoplasia (CIN) significantly reduces the risk of invasive cancerous progression. Residual and recurrent high-grade CIN should be detected and retreated in an early phase. Therefore, a postsurgery cytologic follow-up protocol was introduced at 3, 6, 9, and 12 months and yearly thereafter for 5 years. The aim of this study is to evaluate the long-term experience in treating high-grade CIN using large-loop excision of the transformation zone (LLETZ). Additionally, the long-term follow-up in this study gains the opportunity to document the pattern of disease recurrence beyond 5 years. The average follow-up of the 1696 women included in this study was 6.5 years. Overall, 8.5% of the patients who underwent LLETZ showed a high-grade repetitive CIN and three patients had invasive carcinoma. Eighty percent of those lesions were probably residual, whereas 20% of all high-grade repetitive lesions appeared more than 2 years after initial surgery and were considered recurrent lesions. Half of the recurrent lesions occurred more than 5 years after LLETZ.
- Publication
International journal of gynecological cancer : official journal of the International Gynecological Cancer Society, 2006, Vol 16, Issue 2, p615
- ISSN
1048-891X
- Publication type
Journal Article
- DOI
10.1111/j.1525-1438.2006.00404.x