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Management of 633 cervical intraepithelial neoplasias by CO2 laser: Persistent diseases and recurrences

✍ Scribed by George D. Sadoul; Thérèse M. Beuret


Book ID
102932983
Publisher
John Wiley and Sons
Year
1986
Tongue
English
Weight
772 KB
Volume
6
Category
Article
ISSN
0196-8092

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✦ Synopsis


During the past 6 years, we have managed 633 cervical intraepithelial neoplasias with the C q laser. If the lesion is located on the ectocervix, the C02 laser is used to vaporize it under the microscope. If the lesion is located in the endocervical canal, the C02 laser is used to excise a cylinder-shaped tissue with a handpiece.

Colposcopic examination is performed 2 1 days after treatment. Persistent disease is recognized at this examination; healing is obtained spontaneously in 66% of those with persistent disease without second treatment.

There were eight with recurrent disease with abnormal Pap tests and abnormal colposcopic findings, and 12 with recurrent disease with abnormal Pap tests and normal colposcopic findings (recurrent koilocytis cells).

After laser treatment cervical function was good and pregnancies were normal.


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Management and Follow-Up of Cervical Int
✍ Dr. Suad Shuber 📂 Article 📅 1983 🏛 John Wiley and Sons 🌐 English ⚖ 224 KB 👁 1 views

Forty-four patients with cervical intraepithelial neoplasia (CIN) I1 and 31 patients with CIN III were followed up for up to 6 months after cervical cone vaporization with carbon dioxide laser. In addition to colposcopy and pap smear, all patients underwent cervical biopsies as part of their follow-