- 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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