Is fertility-sparing treatment for high grade cervical dysplasia conservative enough? (letter)

Title: Is fertility-sparing treatment for high grade cervical dysplasia conservative enough? (letter)
Creator: Zardawi, Ibrahim M.; Swarbrick, Nicole; Braye, Stephen G.
Relation: Pathology Vol. 40, Issue 6, p. 639-641
Publisher Link: http://dx.doi.org/10.1080/00313020802320705
Publisher: Informa Healthcare
Resource Type: journal article
Date: 2008
Description: The new National Health and Medical Research Council (NHMRC) guidelines for the management of women with high grade squamous intraepithelial lesions [cervical intraepithelial neoplasia (CIN) 2 and CIN 3] state that the local ablative or excisional treatment should destroy or remove tissue to a depth of at least 7 mm. It is obvious from our study that gynaecologists at our institution are much more conservative in their approach to the treatment of high grade dysplasia than the NHMRC recommendations. We support this approach and believe cytological surveillance for women who have complete excision of CIN to be appropriate; whereas women with involved margins by CIN at initial LLETZ should have long term colposcopic and cytological follow up. We think top-hat LLETZ would constitute over-treatment in the young age group.
Subject: high grade cervical dysplasia; squamous intraepithelial lesions; laser; fertility
Identifier: uon:4952
Identifier: http://hdl.handle.net/1959.13/42796
Identifier: ISSN:0031-3025

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