## Abstract This report concerns the experience of an abnormal Pap smear clinic in treating cervical intraepithelial neoplasia (CIN). The CO~2~ laser was the primary treatment method in 283 consecutive cases during 1977โ1981, which fulfilled the criteria for conservative management. Seven percent o
Carbon dioxide laser surgery for cervical intraepithelial neoplasia
โ Scribed by Dr. V. C. Wright
- Publisher
- John Wiley and Sons
- Year
- 1984
- Tongue
- English
- Weight
- 449 KB
- Volume
- 4
- Category
- Article
- ISSN
- 0196-8092
No coin nor oath required. For personal study only.
โฆ Synopsis
During 1977During -1983, 787 , 787
consecutive referred cases of CJN were treated by vaporization of a dome-shaped defect, by excision of a cylindrical specimen, or a combination of procedures where 48 % were CIN 111. Vaporization was used for 72% of CIN I, 76% of CIN 11, and 64% of CIN 111 cases. Less than 15% of vaporization and all excision cases were done in hospital under anesthesia; 11 % had delayed bleeding requiring attention (admission was required in 2%); 100% of CIN I, 96% of CIN 11, and 96% of CIN III cases were cured. Persistent disease was diagnosed at the first (96%) or second (4%) visit. Subsequent treatment included laser and less than 1 % hysterectomy. Overall cure for laser surgery was 99.5 % . Sixty-eight patients subsequently became pregnant; outcomes were normally distributed. Treatment success is related to adequate volume of tissue removed.
๐ SIMILAR VOLUMES
Some patients with histologically proven residual cervical intraepithelial neoplasia after laser ablation have false negative cytology. The explanation for this is not known, but there was no evidence of buried lesions. Follow-up of all patients treated by selective ablation is necessary. Cytology a
## Background and objective: Minimal conization with carbon dioxide laser (co2) for safe diagnosis and treatment of cervical intraepithelial neoplasia (cin) 1-3 has been utilized for 15 years. to evaluate the results of 15 years' follow-up. ## Study design/materials and methods: Clinical prospect
To evaluate risk factors for cervical intraepithelial neoplasia (CIN), data were collected in a case-control study based on 366 patients (58 with CIN class 1, 70 with CIN class 2, and 238 with CIN class 3) and 323 control subjects with normal cervical smears interviewed on selected days at the same