2010•Chinese Clinical OncologyRequires access

Explore predictors of recurrent or residual for severe cervical intraepithelial neoplasia after loop electrosurgical excision procedure

Huang Xiang-yua

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Abstract

Objective To explore predictors of recurrent or residual for severe cervical intraepithelial neoplasia(CIN)after loop electrosurgical excision procedure(LEEP).Methods Eighty-six outpatients with high-risk human papillomavirus(HR-HPV)infecting CIN Ⅱ~CIN Ⅲ confirmed by histology were treated by LEEP.Follow-up by two years,HR-HPV load was measured.Meanwhile,cervical cytology,colposcopy and cervical biopsy were performed.Results HR-HPV was a sensitive predictor for disease remaining or relapsing after LEEP,but its specificity was not as good as cervical cytology's(P0.05).Conclusion During the follow-up after LEEP,we should measure HR-HPV load to identify the high-risk groups for residual or recurrent of the lesions.Meanwhile,cervical cytology should be combined with in order to enhance the specificity of the forecast.

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Objective To explore predictors of recurrent or residual for severe cervical intraepithelial neoplasia(CIN)after loop electrosurgical excision procedure(LEEP).Methods Eighty-six outpatients with high-risk human papillomavirus(HR-HPV)infecting CIN Ⅱ~CIN Ⅲ confirmed by histology were treated by LEEP.Follow-up by two years,HR-HPV load was measured.Meanwhile,cervical cytology,colposcopy and cervical biopsy were performed.Results HR-HPV was a sensitive predictor for disease remaining or relapsing after LEEP,but its specificity was not as good as cervical cytology's(P0.05).Conclusion During the follow-up after LEEP,we should measure HR-HPV load to identify the high-risk groups for residual or recurrent of the lesions.Meanwhile,cervical cytology should be combined with in order to enhance the specificity of the forecast.

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Available abstract

Objective To explore predictors of recurrent or residual for severe cervical intraepithelial neoplasia(CIN)after loop electrosurgical excision procedure(LEEP).Methods Eighty-six outpatients with high-risk human papillomavirus(HR-HPV)infecting CIN Ⅱ~CIN Ⅲ confirmed by histology were treated by LEEP.Follow-up by two years,HR-HPV load was measured.Meanwhile,cervical cytology,colposcopy and cervical biopsy were performed.Results HR-HPV was a sensitive predictor for disease remaining or relapsing after LEEP,but its specificity was not as good as cervical cytology's(P0.05).Conclusion During the follow-up after LEEP,we should measure HR-HPV load to identify the high-risk groups for residual or recurrent of the lesions.Meanwhile,cervical cytology should be combined with in order to enhance the specificity of the forecast.

Key concepts: Medicine, Colposcopy, Cervical intraepithelial neoplasia, Loop electrosurgical excision procedure, Cytology, Biopsy, Human papillomavirus, Electrosurgery

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