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Titolo:
Diagnostic conization for cervical neoplasia during pregnancy using the CO2 laser
Autore:
Diakomanolis, E; Rodolakis, A; Michalas, S;
Indirizzi:
Univ Athens, Dept Obstet & Gynecol 1, Colposcopy & Laser Surg Unit, Alexandra Hosp, Athens, Greece Univ Athens Athens Greece ser Surg Unit, Alexandra Hosp, Athens, Greece
Titolo Testata:
JOURNAL OF GYNECOLOGIC SURGERY
fascicolo: 4, volume: 15, anno: 1999,
pagine: 197 - 202
SICI:
1042-4067(199924)15:4<197:DCFCND>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTRAEPITHELIAL NEOPLASIA; COLPOSCOPIC EVALUATION; EXPERIENCE; CO2-LASER;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
20
Recensione:
Indirizzi per estratti:
Indirizzo: Rodolakis, A 11 Ioanninon Str, Athens 15237, Greece 11 Ioanninon Str Athens Greece 15237 , Athens 15237, Greece
Citazione:
E. Diakomanolis et al., "Diagnostic conization for cervical neoplasia during pregnancy using the CO2 laser", J GYNECOL S, 15(4), 1999, pp. 197-202

Abstract

Cervical conization during pregnancy has been reported as a procedure witha high morbidity, The authors report their experience in triaging pregnantwomen with abnormal cytopathology by laser CO2 cervical conization, in a retrospective review. Out of a total of 192 pregnant women, cervical conization was performed in 24 cases for diagnostic reasons. Indications for the procedure were suspected invasive disease, unsatisfactory follow-up in patients with high-grade squamous intraepithelial lesions (SIL), a major discrepancy between cytologic and colposcopic results, or suspected glandular disease. The procedure was performed with the patient under local anesthesia, using CO2 laser. Five cases of microinvasive carcinoma and 19 cases of intraepithelial disease were found. There were negligible complications from theprocedure. Intraepithelial relapse was diagnosed in 3 women during a follow-up ranging from 24 to 69 months. Although colposcopy has eliminated the need for routine diagnostic conization during pregnancy, certain patients may need to undergo the procedure. The CO2 laser in experienced hands provides an excellent means of performing it safely and effectively.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 14:52:21