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Archives of Gynecology and Obstetrics

, Volume 284, Issue 2, pp 517–519 | Cite as

Incomplete excision of cervical intraepithelial neoplasia in conization does not require immediate excisional procedure

  • Adriana Bittencourt CampanerEmail author
  • Fernanda Araujo Cardoso
Letter to the Editor

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 [4].

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 [4].

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...

Keywords

Surgical Margin Cervical Intraepithelial Neoplasia Standardise Incidence Ratio Invasive Cervical Cancer Hormonal Contraception 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest

The authors declare that they have no conflicts of interest.

References

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Adriana Bittencourt Campaner
    • 1
    Email author
  • Fernanda Araujo Cardoso
    • 1
  1. 1.Department of Obstetrics and GynecologySanta Casa of São Paulo Medical SchoolSão PauloBrazil

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