Tools for post LEEP surveillance

被引:7
作者
Bornstein, J
Schwartz, J
Perri, A
Harroch, J
Zarfati, D
机构
[1] Western Galilee Hosp, Dept Obstet & Gynecol, Colposcopy Unit, IL-22100 Nahariyya, Israel
[2] Hatechnion Univ, Rappaport Fac Med, Nahariyya, Israel
关键词
D O I
10.1097/01.ogx.0000137612.87012.66
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Recurrences of cervical intraepithelial neoplasia (CIN) as well as invasive cervical carcinoma have been reported to arise following ablative or excisional treatment for cervical intraepithelial neoplasia. This review utilizes MEDLINE and National Library of Medicine's PubMed review of the various screening tools used in follow-up protocols for women treated by loop excision for CIN. Cervical cytology, colposcopy, endocervical curettage and HPV typing have been advocated for use as tools for follow up. Involvement of the surgical margins and the presence of HPV-DNA are associated with higher risks of recurrence and should be taken into consideration. The psychological impact of undergoing colposcopy may affect compliance with follow-up visits and should be dealt with appropriately.
引用
收藏
页码:663 / 668
页数:6
相关论文
共 61 条
[1]   Clinical and economic benefit of HPV-load testing in follow-up and management of women postcone biopsy for CIN2-3 [J].
Almog, B ;
Gamzu, R ;
Bornstein, J ;
Levin, I ;
Fainaru, O ;
Niv, J ;
Lessing, JB ;
Bar-Am, A .
BRITISH JOURNAL OF CANCER, 2003, 89 (01) :109-112
[2]   Cytology and colposcopy after loop electrosurgical excision: Implications for follow-up [J].
Baldauf, JJ ;
Dreyfus, M ;
Ritter, J ;
Cuenin, C ;
Tissier, I ;
Meyer, P .
OBSTETRICS AND GYNECOLOGY, 1998, 92 (01) :124-130
[3]   Follow-up by combined cytology and human papillomavirus testing for patients post-cone biopsy: results of a long-term follow-up [J].
Bar-Am, A ;
Gamzu, R ;
Levin, I ;
Fainaru, O ;
Niv, J ;
Almog, B .
GYNECOLOGIC ONCOLOGY, 2003, 91 (01) :149-153
[4]  
Bertelsen B, 1999, ACTA OBSTET GYN SCAN, V78, P54
[5]   EFFICACY AND SAFETY OF LARGE-LOOP EXCISION OF THE TRANSFORMATION ZONE [J].
BIGRIGG, A ;
HAFFENDEN, DK ;
SHEEHAN, AL ;
CODLING, BW ;
READ, MD .
LANCET, 1994, 343 (8888) :32-34
[6]  
BONDER K, 2002, ANTICANCER RES, V22, P3733
[7]   Decision-making in the colposcopy clinic - a critical analysis [J].
Bornstein, J ;
Yaakov, Z ;
Pascal, B ;
Faktor, J ;
Baram, A ;
Zarfati, D ;
Abramovici, H .
EUROPEAN JOURNAL OF OBSTETRICS GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 1999, 85 (02) :219-224
[8]   Recurrence after treatment by loop electrosurgical excision procedure (LEEP) of high-grade cervical intraepithelial neoplasia [J].
Cecchini, S ;
Visioli, CB ;
Zappa, M ;
Ciatto, S .
TUMORI, 2002, 88 (06) :478-480
[9]   Human papillomavirus analysis as a prognostic marker following conization of the cervix uteri [J].
Chua, KL ;
Hjerpe, A .
GYNECOLOGIC ONCOLOGY, 1997, 66 (01) :108-113
[10]   Disease persistence in patients with cervical intraepithelial neoplasia undergoing electrosurgical conization [J].
Costa, S ;
De Nuzzo, M ;
Infante, FE ;
Bonavita, B ;
Marinelli, M ;
Rubino, A ;
Rambelli, V ;
Santini, D ;
Cristiani, P ;
Bucchi, L .
GYNECOLOGIC ONCOLOGY, 2002, 85 (01) :119-124