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Evaluation of a single‐step diagnosis and treatment of premalignant cervical lesion by LEEP

2009; Elsevier BV; Volume: 107; Issue: 3 Linguagem: Inglês

10.1016/j.ijgo.2009.07.027

1879-3479

Mohamed Emam, Aboubakr Elnashar, Hesham Shalan, Rafik Barakat,

Cervical Cancer and HPV Research

Abstract Objective To explore whether a single‐step diagnosis and treatment of premalignant cervical lesions by the loop electrosurgical excision procedure (LEEP) is appropriate in women at high risk in low‐resource countries. Method Sixty women suspected of having a high‐grade lesion on both visual inspection with acetic acid (VIA) and colposcopic examination were randomly allotted to one of 2 groups. In group 1, LEEP was performed immediately and a tissue specimen was sent for histopathologic evaluation; in group 2, a punch biopsy was performed, followed by a histopathologic evaluation; then, LEEP was performed if needed. Results Among the patients who underwent LEEP, 4 (16%) in group 1 and 3 (15.8%) in group 2 were overtreated. No patients dropped out of the study in group 1 but 5 (20.8%) did in group 2. Conclusion The single‐step diagnosis and LEEP treatment of premalignant cervical lesions is appropriate in low‐resource countries.