Treatment of cervical intraepithelial neoplasia with electrocautery: Report of 426 cases
| Autor: | I.D. Ohlke, Eric A. Deigan, J.A. Carmichael, J. Karchmar |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
Colposcopy
medicine.medical_specialty medicine.diagnostic_test business.industry Carcinoma in situ medicine.medical_treatment Uterine Cervical Neoplasms Obstetrics and Gynecology Ambulatory Surgical Procedure Uterine Cervical Dysplasia medicine.disease Cervical intraepithelial neoplasia Electrocoagulation Surgery Dysplasia medicine Humans Initial treatment Outpatient clinic Female Neoplasm Recurrence Local business Carcinoma in Situ |
| Zdroj: | American Journal of Obstetrics and Gynecology. 148:544-546 |
| ISSN: | 0002-9378 |
| DOI: | 10.1016/0002-9378(84)90744-0 |
| Popis: | From 1973 to 1984, 776 patients with cervical intraepithelial neoplasia were treated with outpatient electrocautery (hot cautery) without anesthesia. Of these, 726 (94%) were available for follow-up in 3 to 6 months. An initial cure rate with one treatment of 89% to 90% was achieved. Cure rates were similar for all degrees of dysplasia, including carcinoma in situ. There were no complications. All patients with failure of the initial treatment who returned for further outpatient management were eventually cured with use of electrocautery. Long-term follow-up rates ranged from 75% at 1 year to 46% at 5 years. There were few late recurrences, most of which were treated again (successfully) with electrocautery. Electrocautery produces cure rates similar to those for other forms of conservative management and may be the most cost-effective method of management of cervical intraepithelial neoplasia. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|