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vol.73 issue5EFECTO DEL REPOSO POST-TRANSFERENCIA EMBRIONARIA TRANSCERVICAL EN LA TASA DE EMBARAZOPRÁCTICAS SEXUALES DE GESTANTES BRASILEÑAS author indexsubject indexarticles search
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Revista chilena de obstetricia y ginecología

Print version ISSN 0048-766XOn-line version ISSN 0717-7526

Abstract

CABRERA D, Jorge et al. ESCISIÓN DE LA ZONA DE TRANSFORMACIÓN EN LESIONES DE CÉRVIX: ANÁLISIS DE 1.141 CASOS. Rev. chil. obstet. ginecol. [online]. 2008, vol.73, n.5, pp.308-312. ISSN 0048-766X.  http://dx.doi.org/10.4067/S0717-75262008000500005.

Objective: To analyze the results of 1,141 cervical excisions. Method: Descriptive and retrospective study of the clinical charts and biopsies of 1,141 cases with surgical resection of the uterine cérvix performed from 1999 to 2005. Only patients with a mínimum of 18 months of follow up were included. Results: From 3,004 patients with a positive Papanicolaou smear for neoplastic cells and/or condyloma, 1,113 (97.5%) were trea-ted with loop electrosurgical excisional procedure (LEEP) and 28 (2.5%) with cold-knife conization. The most frequent lesión (66.7%) found was high grade squamous intraepithelial lesions (SIL), follow by low grade SIL (7.8%); 74 patients (6.5%) presented with early stage of squamous cell carcinoma and 377 (33%) of the histological specimens revealed positive margins; 210 (18.4%) of the cases showed no histological lesión. There were a 26.2% of témales that were considered to receive over treatment. After 18 months follow up 85.5% of patient were free of high grade SIL. A second surgical treatment was done in 194 patients (17%) including 110 cases (9.6%) with persistent or recurrence of the lesión. Conclusions: The results are satisfac-tory related to treatment of high grade SIL and it contributes to the early diagnosis of cervical cáncer. The results are similar to other national and international series previously published.

Keywords : Cervix cáncer; intraepithelial neoplasia; transformation zone; conisation; LEEP.

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