Controversia en el tratamiento de la lesión intraepitelial escamosa de alto grado (NIC II)
DOI:
https://doi.org/10.29166/ciencias_medicas.v42i2.1502Keywords:
Cervical intraepithelial lesions, Low-grade CIN II, Cone LLETZ, Progression, ColposcopyAbstract
Background: the LLETZ cone is currently the treatment of high grade NICs. The resistance to the procedure is argued by the effects of overtreatment (stenosis and cervical insufficiency), especially when destructive ablative methods are used instead of ambulatory surgical resection (LLETZ).
Objective: to analyze the diagnosis and treatment of CIN II by means of cone and curettage in patients attending the pathology department of the lower genital tract of the SOLCA-Quito Ecuador Oncology Hospital.
Subjects and methods: in this cross-sectional descriptive epidemiological observational study, we analyzed clinical records of 820 patients with histopathological diagnosis by CIN II biopsy; women between 17 and 82 years old who visited the pathology service of the lower genital tract subject to control, in these patients 530 catheters were performed. The study was conducted at the SOLCA Oncology Hospital of Quito, Ecuador, from
2004 to 2013.
Results: the histopathology of neoplasm-free cones represents 98.66% (n = 809); there are 11 cases of residual neoplasms (1.34%). 53.7% of cases present a lesion equal to or greater than in biopsy, which justifies the cone.
Conclusion: the LLETZ cone procedure has great diagnostic, therapeutic and prognostic usefulness in women with CIN II and other similar pathologies
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References
Ismail S. Intra-epithelial lesions of the uterine cervix. Histopathology. 1991; 18(3):285-288.
Ortiz R. Factores de riesgo para cáncer de cuello uterino. Revista Colombiana Obstétrica Ginecológica. 2004; 55(2):146-160.
Marcelo Bianchi P. Estrategias de prevención en la salud de la mujer. Revista Médica Clínica Las Condes. 2010;21(5):817-830.
Jhon U, Soledad C. Anuario de estadísticas vitales nacimientos y defunciones. Instituto Nacional de Estadísticas y Censos. 2013
Hilal Z, Rezniczek G, El-Fizazi N, Tempfer C. Large Loop Excision of the Transformation Zone Versus True Cone Biopsy Electrode Excision. Journal of Lower Genital Tract Disease. 2017; 21(4):272-278.
Kim H, Kwon J, Kim J, et al. Efficacy of loop electrosurgical excision procedure with cold coagulation for treating cervical intraepithelial neoplasia: A two center cohort study. Obstetrics & Gynecology Science. 2017;60(2):200.
Martínez-Escoriza J, Puig-Tintoré L. Formación en patología del tracto genital inferior y colposcopia. Journal of Lower Genital Tract Disease. 2008; 1:135-136.
