Incomplete excision of cervical intraepithelial neoplasia in conization does not require immediate excisional procedure
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To the editor:
Cervical conization, which is the recommended treatment for cervical intraepithelial neoplasias (CIN) grade 2 and 3 due to the overall high risk of progression to cervical cancer of these lesions, can be performed using traditional technique (cold-knife conization), laser conization and through the loop electrosurgical excision procedure (LEEP) [1, 2, 3]. Moreover, operator experience, costs, patients’ clinical conditions, equipments availability may be a consideration in choosing between these techniques .
Despite these differences, many randomized studies have demonstrated that all of the aforementioned techniques present satisfactory and similar results in the treatment of high-grade lesions of the uterine cervix as long as the entire transformation zone is removed .
Independent of the type of conization performed, infiltration of the surgical margins by the neoplastic process is a frequently observed reality. The main reasons related to this occurrence are the...
KeywordsSurgical Margin Cervical Intraepithelial Neoplasia Standardise Incidence Ratio Invasive Cervical Cancer Hormonal Contraception
Conflict of interest
The authors declare that they have no conflicts of interest.
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