| Yazarlar |
Fuat Demirkıran
Türkiye |
|
İlker Kahramanoğlu
Türkiye |
|
Hasan Turan
Türkiye |
|
Nevin Tüten
Türkiye |
Dr. Öğr. Üyesi Aslıhan YURTKAL
Kafkas Üniversitesi, Türkiye |
|
Elif Meşeci
Türkiye |
|
Tevfik Tugan Beşe
Türkiye |
|
Şennur İlvan
Türkiye |
|
Mehmet Macit Arvas
Türkiye |
| Özet |
| To determine the overtreatment and re-LEEP rates of see and treat strategy (S & T) in women who underwent S & T by LEEP and to identify the risk factors for overtreatment and surgical margin and/or endocervical curettage positivity. A total of 800 patients who underwent S & T in Istanbul University Cerrahpasa Medical Faculty between June 2010 and June 2016 were retrospectively analyzed. Overtreatment rate was found to be 46.6%, decreasing with higher grade of cervical smear abnormalities. Age more than 45, low grade of cervical cytologic abnormality and absence of glandular involvement were associated with higher overtreatment rates. The more advanced the histopathology, the more increased risk of surgical margin on LEEP and ECC positivity (p < 0.0001, for both). Glandular involvement was associated with both surgical margin and ECC positivity. S & T can be used in patients with high grade cytologic anomaly with an acceptable overtreatment rate. In addition, bigger pieces of specimens may need to be removed during LEEP in patients who have suspicious images of higher grade of abnormalities on colposcopy to reduce surgical margin or ECC positivity. When high rate of ECC positivity in patients with HSIL cytology is considered, we suggest performing ECC to every patients with HSIL. |
| Anahtar Kelimeler |
| cervical intraepithelial neoplasia | conization | smear |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | Ginekologia Polska |
| Dergi ISSN | 0017-0011 |
| Dergi Tarandığı Indeksler | SCI-Expanded |
| Dergi Grubu | Q4 |
| Makale Dili | İngilizce |
| Basım Tarihi | 07-2017 |
| Cilt No | 88 |
| Sayı | 7 |
| Sayfalar | 349 / 354 |
| Doi Numarası | 10.5603/GP.a2017.0066 |
| Makale Linki | http://dx.doi.org/10.5603/gp.a2017.0066 |
| Atıf Sayıları | |
| WoS | 6 |
