Navegando por Palavras-chave "Loop electrosurgical excision procedure, LEEP"

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    Acesso aberto (Open Access)
    Resultado da cirurgia com alça de alta freqüência e localização colposcópica da área com atipia ectocervical
    (Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, 2001-07-01) Cardoso, Maria Silvana [UNIFESP]; Ribalta, Julisa Chamorro Lascasas [UNIFESP]; Taha, Nabiha Saadi Abrahão [UNIFESP]; Focchi, José [UNIFESP]; Baracat, Edmund Chada [UNIFESP]; Lima, Geraldo Rodrigues [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Purpose: to evaluate the histopathologic results of cone specimens of patients undergoing loop electrosurgical excision procedure (LEEP) and their relationship with the localization of the lesion. Methods: in a retrospective study, 134 clinical reports of patients with abnormal findings of cervical cytology and/or biopsy undergoing LEEP were reviewed. The colposcopic findings were divided into three groups according to the localization of the lesion. Group I (n = 36): patients with ectocervical lesions and fully visible squamocolumnar junction; Group II (n = 50): patients with lesions at the ectocervix and endocervix, and Group III (n = 48): patients with unsatisfactory colposcopy. Results: the mean age in Group I was 33 years and there were 8.3% positive margins. In Group II the mean age was 39 years, with 36% positive margins. Group III had a mean age of 48 years and presented 29.2% positive margins. The percentage of residual disease was 4.2% in Group I, 31.6% in Group II and 35.5% in Group III. Conclusion: patients with lesions at the endocervical canal showed a higher rate of positive margins. Patients with high-grade cervical intraepithelial neoplasia at the endocervical canal and older than 40 years have a greater chance of showing positive margins and residual disease, therefore requiring stricter cytologic and colposcopic follow-up.