Abstract | BACKGROUND: METHODS: A retrospective evaluation. Case collection: A total of 77 women, 47 outpatients and 30 inpatients with endocervical CIN3 or CIN2, were treated by carbon dioxide ( CO2) laser between 1993 and 1995. A preoperative diagnosis has been made by means of Pap-smear, colposcopy and marked biopsy. In 47 cases a laser conization was performed in Day Surgery, without vessel constrictors or local anesthetics. In 30 cases a narcosis ( Diprivan ) was induced. The former were discharged 2-3 hours and the latter 24 hours after treatment. RESULTS: The histological examination confirmed preoperative diagnosis in 64 (86.5%) cases and negligible one grade discrepancy was reported in 7 cases (6 over- and 1 underestimated); missed invasion and no free margins were reported in the remaining 4 and 2 patients respectively, so these latter 6 patients were submitted to other surgical procedures. No serious complications occurred with the exception of mild vaginal postoperative bleeding. During the follow-up of 36-82 months, cervical alterations were described only in 12 out of 71 cases, flat condilomatosy in 8 cases, CIN2 in 2 patients and CIN3 in other 2 patients. At present, all the patients are free of disease. CONCLUSIONS:
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Authors | F F Diotallevi, A Iacovelli, C Vincenzoni, M Atlante |
Journal | Minerva ginecologica
(Minerva Ginecol)
Vol. 54
Issue 6
Pg. 467-70
(Dec 2002)
ISSN: 0026-4784 [Print] Italy |
Vernacular Title | Laser conizzazione nelle neoplasie intraepiteliali della cervice di III grado. Nostra esperienza su 77 casi. |
PMID | 12432328
(Publication Type: English Abstract, Journal Article)
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Topics |
- Adult
- Conization
(methods)
- Female
- Humans
- Laser Therapy
- Middle Aged
- Retrospective Studies
- Uterine Cervical Neoplasms
(pathology)
- Uterine Cervical Dysplasia
(pathology)
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