LEEP Excision on Cervical Tissue in Patients with Abnormal Pap Smear (HSIL) after Colposcopic Examination in Buriram hospital
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Abstract
Background: Cervical cancer was the most frequently in female cancer cases. It can be diagnosed and treated by pap test, colposcope LEEP and conization
Objective: To study the diagnosis and treatment in patients having abnormal pap smear (HSIL) by using LEEP, without colposcope with directed biopsy.
Method: The data were collected from the medical records of the patients in Buriram hospital diagnosed of HSIL by pap smear screening test for 3 years.
Result: Out of 52 patients in this study, 27 patients (51.9%) had moderate dysplasia, 17 patients (32.6%) had severe dysplasia, 5 patients (9%) had invasive cancer and 5 patients (9%) had mild dysplasia. The study showed that the diagnosis of the patients of HSIL through cytologic screening test highly correlated with those through pathologic diagnosis (moderate and severe dysplasia)
Conclusion: Patients with cytologic diagnosis of HSIL could be diagnosed and treated by LEEP immediately after colposcopic examination without directed biopsy. This method was one of the good method in provincial hospitals that lacked of expert colposcopists.
Keywords: Cervical cancer, High - grade squamous intraepithelial lesion, : loop electrosurgical excision procedure, papanicoloau
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References
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