Risk of persistent high-grade squamous intraepithelial lesion after electrosurgical excisional treatment with positive margins: a meta-analysis
| Autor(a) principal: | |
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| Data de Publicação: | 2012 |
| Outros Autores: | , , |
| Tipo de documento: | Artigo |
| Idioma: | por |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/6245 |
Resumo: | CONTEXTO E OBJETIVO: As lesões precursoras do câncer de colo uterino, mesmo se tratadas adequadamente, têm risco de persistirem ou recidivarem. O objetivo foi quantificar o risco de persistência da lesão intraepitelial escamosa de alto grau (HSIL) em um e dois anos após tratamento excisional eletrocirúrgico do colo uterino com margens comprometidas. TIPO DE ESTUDO E LOCAL: Revisão sistemática da literatura e metanálise no Instituto Fernandes Figueira. METÓDO: Metanálise de estudos publicados entre janeiro de 1989 e julho de 2009 identificados em Medline, Scopus, Embase, Cochrane, SciELO, Lilacs, Adolec, Medcarib, Paho, Wholis, Popline, Isis Web of Science e Sigle. Os artigos eram selecionados se fossem estudos tipo coorte sobre tratamento excisional eletrocirúrgico de HSIL com acompanhamento mínimo de um ano e tivessem como desfecho histopatológico a persistência de HSIL com pequeno risco de viés. RESULTADOS: Foram identificados 7.066 artigos e mais 21 nas listas de referências desses artigos. Após aplicação de critérios de seleção e de exclusão, somente quatro artigos ofereciam dados passíveis de extração. O risco de persistência da HSIL em um ano foi 11.36 vezes maior nas pacientes com margens comprometidas (intervalo de confiança, IC 95%: 5.529-23.379; P < 0,0001) e, em dois anos, chegou a quatro vezes, embora sem significância estatística (IC 95% 0.996-16.164). CONCLUSÃO: Esta metanálise confirma a importância de margem comprometida como indicador de tratamento incompleto no primeiro ano e ressalta a necessidade de uma adequada escolha da técnica eletrocirúrgica em função da localização e extensão da doença e um acompanhamento adequado dessas pacientes. |
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Oliveira, Caroline Alves deRussomano, Fábio BastosGomes Junior, Saint Clair dos SantosCorrêa, Flávia de Miranda2013-01-24T17:46:44Z2013-01-24T17:46:44Z2012OLIVEIRA, Caroline Alves de et al. Risk of persistent high-grade squamous intraepithelial lesion after electrosurgical excisional treatment with positive margins: a meta-analysis. Sao Paulo Med J., São Paulo, v. 130, n. 2, p. 119-125, 2012.https://www.arca.fiocruz.br/handle/icict/624510.1590/S1516-31802012000200009CONTEXTO E OBJETIVO: As lesões precursoras do câncer de colo uterino, mesmo se tratadas adequadamente, têm risco de persistirem ou recidivarem. O objetivo foi quantificar o risco de persistência da lesão intraepitelial escamosa de alto grau (HSIL) em um e dois anos após tratamento excisional eletrocirúrgico do colo uterino com margens comprometidas. TIPO DE ESTUDO E LOCAL: Revisão sistemática da literatura e metanálise no Instituto Fernandes Figueira. METÓDO: Metanálise de estudos publicados entre janeiro de 1989 e julho de 2009 identificados em Medline, Scopus, Embase, Cochrane, SciELO, Lilacs, Adolec, Medcarib, Paho, Wholis, Popline, Isis Web of Science e Sigle. Os artigos eram selecionados se fossem estudos tipo coorte sobre tratamento excisional eletrocirúrgico de HSIL com acompanhamento mínimo de um ano e tivessem como desfecho histopatológico a persistência de HSIL com pequeno risco de viés. RESULTADOS: Foram identificados 7.066 artigos e mais 21 nas listas de referências desses artigos. Após aplicação de critérios de seleção e de exclusão, somente quatro artigos ofereciam dados passíveis de extração. O risco de persistência da HSIL em um ano foi 11.36 vezes maior nas pacientes com margens comprometidas (intervalo de confiança, IC 95%: 5.529-23.379; P < 0,0001) e, em dois anos, chegou a quatro vezes, embora sem significância estatística (IC 95% 0.996-16.164). CONCLUSÃO: Esta metanálise confirma a importância de margem comprometida como indicador de tratamento incompleto no primeiro ano e ressalta a necessidade de uma adequada escolha da técnica eletrocirúrgica em função da localização e extensão da doença e um acompanhamento adequado dessas pacientes.CONTEXT AND OBJECTIVE: Even if precursor lesions of cervical cancer are properly treated, there is a risk of persistence or recurrence. The aim here was to quantify the risks of persistence of high-grade intraepithelial squamous lesions, one and two years after cervical electrosurgical excisional treatment with positive margins. DESIGN AND SETTING: Systematic review of the literature and meta-analysis at Instituto Fernandes Figueira. METHODS: This meta-analysis was on studies published between January 1989 and July 2009 that were identified in Medline, Scopus, Embase, Cochrane, SciELO, Lilacs, Adolec, Medcarib, Paho, Wholis, Popline, ISI Web of Science and Sigle. Articles were selected if they were cohort studies on electrosurgical excisional treatment of high-grade squamous intraepithelial lesions with a minimum follow-up of one year, a histopathological outcome of persistence of these lesions and a small risk of bias. RESULTS: The search identified 7,066 articles and another 21 in the reference lists of these papers. After applying the selection and exclusion criteria, only four articles were found to have extractable data. The risk of persistence of high-grade intraepithelial lesions after one year was 11.36 times greater (95% confidence interval, CI: 5.529-23.379, P < 0.0001) in patients with positive margins and after two years, was four times greater (95% CI: 0.996-16.164), although without statistical significance. CONCLUSION: This meta-analysis confirms the importance of positive margins as an indicator of incomplete treatment after the first year of follow-up and highlights the need for appropriately chosen electrosurgical techniques based on disease location and extent, with close surveillance of these patients.Hospital Federal de Bonsucesso. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Departamento de Educação. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Departamento de Neonatologia, Rio de Janeiro, RJ, BrasilInstituto Nacional do Câncer. Divisão de Apoio à Rede de Atenção Oncológica. Rio de Janeiro, RJ, BrasilporAssociação Paulista de MedicinaAmerican College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 99: management of abnormal cervical cytology and histology. Obstet Gynecol. 2008;112(6):1419-44.Lu CH, Liu FS, Kuo CJ, Chang CC, Ho ES. Prediction of persistence or recurrence after conization for cervical intraepithelial neoplasia III. Obstet Gynecol. 2006;107(4):830-5.Tyler LN, Andrews N, Parrish RS, Hazlett LJ, Korourian S. Significance of margin and extent of dysplasia in loop electrosurgery excision procedure biopsies performed for high-grade squamous intraepithelial lesion in predicting persistent disease. Arch Pathol Lab Med. 2007;131(4):622-4.Park JY, Lee SM, Yoo CW, et al. Risk factors predicting residual disease in subsequent hysterectomy following conization for cervical intraepithelial neoplasia (CIN) III and microinvasive cervical cancer. Gynecol Oncol. 2007;107(1):39-44.Manchanda R, Baldwin P, Crawford R, et al. Effect of margin status on cervical intraepithelial neoplasia recurrence following LLETZ in women over 50 years. BJOG. 2008;115(10):1238-42.Ghaem-Maghami S, Sagi S, Majeed G, Soutter WP. Incomplete excision of cervical intraepithelial neoplasia and risk of treatment failure: a meta-analysis. Lancet Oncol. 2007;8(11):985-93.Brasil. Ministério da Saúde. Instituto Nacional de Câncer. Nomenclatura Brasileira para Laudos Cervicais e Condutas Preconizadas: recomendações para profissionais de saúde [Brazilian Nomenclature for Cervical Cytology Reports and Guidelines]. J Bras Patol Med Lab. 2006;42(5):351-73.Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097.Stroup DF, Berlin JA, Morton SC, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA. 2000;283(15):2008-12.Luesley D, Leeson S. Colposcopy and Programme Management. Guidelines for the NHS Cervical Screening Programme. NHSCSP Publication no 20. Sheffield: NHS Cancer Screening Programmes; 2010. Available from: http://www.cancerscreening.nhs.uk/cervical/publications/nhscsp20.pdf. Accessed in 2011 (Nov 4).Wright TC Jr, Massad LS, Dunton CJ, et al. 2006 consensus guidelines for the management of women with cervical intraepithelial neoplasia or adenocarcinoma in situ. Am J Obstet Gynecol. 2007;197(4):340-5.Grimes DA, Schulz KF. Bias and causal associations in observational research. Lancet. 2002;359(9302):248-52.Sacket DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB. Prognóstico. In: Sacket DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB, eds. Medicina baseada em evidências. Prática e ensino. Porto Alegre: Artmed; 2003. p. 109-17.Chang DY, Cheng WF, Torng PL, Chen RJ, Huang SC. Prediction of residual neoplasia based on histopathology and margin status of conization specimens. Gynecol Oncol. 1996;63(1):53-6.Goya-Canino MM, Falcón-Santana JM, Arencibia-Sánchez O, et al. Follow-up of high risk intraepithelial lesions after loop excision. Prog Obstet Ginecol. 2006;49(2):72-6. Available from: http://www.elsevier.es/en/revistas/progresos-obstetricia-ginecologia-151/follow-up-of-high-risk-intraepithelial-lesions-after-13084345-articulos-originales-2006. Accessed in 2011 (Nov 4).Gardeil F, Barry-Walsh C, Prendiville W, Clinch J, Turner MJ. Persistent intraepithelial neoplasia after excision for cervical intraepithelial neoplasia grade III. Obstet Gynecol. 1997;89(3):419-22.Verguts J, Bronselaer B, Donders G, et al. Prediction of recurrence after treatment for high-grade cervical intraepithelial neoplasia: the role of human papillomavirus testing and age at conisation. BJOG. 2006;113(11):1303-7.Bodner K, Bodner-Adler B, Wierrani F, et al. Is therapeutic conization sufficient to eliminate a high-risk HPV infection of the uterine cervix? A clinicopathological analysis. Anticancer Res. 2002;22(6B):3733-6.Fletcher RW, Fletcher SE. Revisões sistemáticas. In: Epidemiologia clínica: elementos essenciais. Porto Alegre: Artmed; 2006. p. 240-57.Neoplasia Intra-Epitelial CervicalRecidivaPrognósticoEletrocirurgiaMetanáliseCervical Intraepithelial Neoplasia.RecurrenceElectrosurgeryMeta-analysisNeoplasia Intra-Epitelial CervicalPrognósticoEletrocirurgiaMetanáliseRecidivaRisk of persistent high-grade squamous intraepithelial lesion after electrosurgical excisional treatment with positive margins: a meta-analysisRisco de persistência da lesão intraepitelial escamosa de alto grau após tratamento excisional eletrocirúrgico com margens comprometidas: uma metanáliseinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALRisk of persistent high-grade squamous intraepithelial.pdfRisk of persistent high-grade squamous intraepithelial.pdfapplication/pdf247435https://www.arca.fiocruz.br/bitstream/icict/6245/1/Risk%20of%20persistent%20high-grade%20squamous%20intraepithelial.pdf8b206d86f0dab90f6c8796042a01cdd3MD51LICENSElicense.txtlicense.txttext/plain; charset=utf-81914https://www.arca.fiocruz.br/bitstream/icict/6245/2/license.txt7d48279ffeed55da8dfe2f8e81f3b81fMD52TEXTRisk of persistent high-grade squamous intraepithelial.pdf.txtRisk of persistent high-grade squamous intraepithelial.pdf.txtExtracted texttext/plain36456https://www.arca.fiocruz.br/bitstream/icict/6245/5/Risk%20of%20persistent%20high-grade%20squamous%20intraepithelial.pdf.txt40a940fc8b5269248e190d019103b043MD55THUMBNAILRisk of persistent high-grade squamous intraepithelial.pdf.jpgRisk of persistent high-grade squamous intraepithelial.pdf.jpgGenerated Thumbnailimage/jpeg1837https://www.arca.fiocruz.br/bitstream/icict/6245/4/Risk%20of%20persistent%20high-grade%20squamous%20intraepithelial.pdf.jpgebcd0b768ddc123091d93dbaecf6c7d9MD54icict/62452020-05-26 14:11:27.198oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352020-05-26T17:11:27Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
| dc.title.pt_BR.fl_str_mv |
Risk of persistent high-grade squamous intraepithelial lesion after electrosurgical excisional treatment with positive margins: a meta-analysis Risco de persistência da lesão intraepitelial escamosa de alto grau após tratamento excisional eletrocirúrgico com margens comprometidas: uma metanálise |
| title |
Risk of persistent high-grade squamous intraepithelial lesion after electrosurgical excisional treatment with positive margins: a meta-analysis |
| spellingShingle |
Risk of persistent high-grade squamous intraepithelial lesion after electrosurgical excisional treatment with positive margins: a meta-analysis Oliveira, Caroline Alves de Neoplasia Intra-Epitelial Cervical Recidiva Prognóstico Eletrocirurgia Metanálise Cervical Intraepithelial Neoplasia. Recurrence Electrosurgery Meta-analysis Neoplasia Intra-Epitelial Cervical Prognóstico Eletrocirurgia Metanálise Recidiva |
| title_short |
Risk of persistent high-grade squamous intraepithelial lesion after electrosurgical excisional treatment with positive margins: a meta-analysis |
| title_full |
Risk of persistent high-grade squamous intraepithelial lesion after electrosurgical excisional treatment with positive margins: a meta-analysis |
| title_fullStr |
Risk of persistent high-grade squamous intraepithelial lesion after electrosurgical excisional treatment with positive margins: a meta-analysis |
| title_full_unstemmed |
Risk of persistent high-grade squamous intraepithelial lesion after electrosurgical excisional treatment with positive margins: a meta-analysis |
| title_sort |
Risk of persistent high-grade squamous intraepithelial lesion after electrosurgical excisional treatment with positive margins: a meta-analysis |
| author |
Oliveira, Caroline Alves de |
| author_facet |
Oliveira, Caroline Alves de Russomano, Fábio Bastos Gomes Junior, Saint Clair dos Santos Corrêa, Flávia de Miranda |
| author_role |
author |
| author2 |
Russomano, Fábio Bastos Gomes Junior, Saint Clair dos Santos Corrêa, Flávia de Miranda |
| author2_role |
author author author |
| dc.contributor.author.fl_str_mv |
Oliveira, Caroline Alves de Russomano, Fábio Bastos Gomes Junior, Saint Clair dos Santos Corrêa, Flávia de Miranda |
| dc.subject.other.pt_BR.fl_str_mv |
Neoplasia Intra-Epitelial Cervical Recidiva Prognóstico Eletrocirurgia Metanálise |
| topic |
Neoplasia Intra-Epitelial Cervical Recidiva Prognóstico Eletrocirurgia Metanálise Cervical Intraepithelial Neoplasia. Recurrence Electrosurgery Meta-analysis Neoplasia Intra-Epitelial Cervical Prognóstico Eletrocirurgia Metanálise Recidiva |
| dc.subject.en.pt_BR.fl_str_mv |
Cervical Intraepithelial Neoplasia. Recurrence Electrosurgery Meta-analysis |
| dc.subject.decs.pt_BR.fl_str_mv |
Neoplasia Intra-Epitelial Cervical Prognóstico Eletrocirurgia Metanálise Recidiva |
| description |
CONTEXTO E OBJETIVO: As lesões precursoras do câncer de colo uterino, mesmo se tratadas adequadamente, têm risco de persistirem ou recidivarem. O objetivo foi quantificar o risco de persistência da lesão intraepitelial escamosa de alto grau (HSIL) em um e dois anos após tratamento excisional eletrocirúrgico do colo uterino com margens comprometidas. TIPO DE ESTUDO E LOCAL: Revisão sistemática da literatura e metanálise no Instituto Fernandes Figueira. METÓDO: Metanálise de estudos publicados entre janeiro de 1989 e julho de 2009 identificados em Medline, Scopus, Embase, Cochrane, SciELO, Lilacs, Adolec, Medcarib, Paho, Wholis, Popline, Isis Web of Science e Sigle. Os artigos eram selecionados se fossem estudos tipo coorte sobre tratamento excisional eletrocirúrgico de HSIL com acompanhamento mínimo de um ano e tivessem como desfecho histopatológico a persistência de HSIL com pequeno risco de viés. RESULTADOS: Foram identificados 7.066 artigos e mais 21 nas listas de referências desses artigos. Após aplicação de critérios de seleção e de exclusão, somente quatro artigos ofereciam dados passíveis de extração. O risco de persistência da HSIL em um ano foi 11.36 vezes maior nas pacientes com margens comprometidas (intervalo de confiança, IC 95%: 5.529-23.379; P < 0,0001) e, em dois anos, chegou a quatro vezes, embora sem significância estatística (IC 95% 0.996-16.164). CONCLUSÃO: Esta metanálise confirma a importância de margem comprometida como indicador de tratamento incompleto no primeiro ano e ressalta a necessidade de uma adequada escolha da técnica eletrocirúrgica em função da localização e extensão da doença e um acompanhamento adequado dessas pacientes. |
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2012 |
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2012 |
| dc.date.accessioned.fl_str_mv |
2013-01-24T17:46:44Z |
| dc.date.available.fl_str_mv |
2013-01-24T17:46:44Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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publishedVersion |
| dc.identifier.citation.fl_str_mv |
OLIVEIRA, Caroline Alves de et al. Risk of persistent high-grade squamous intraepithelial lesion after electrosurgical excisional treatment with positive margins: a meta-analysis. Sao Paulo Med J., São Paulo, v. 130, n. 2, p. 119-125, 2012. |
| dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/6245 |
| dc.identifier.doi.none.fl_str_mv |
10.1590/S1516-31802012000200009 |
| identifier_str_mv |
OLIVEIRA, Caroline Alves de et al. Risk of persistent high-grade squamous intraepithelial lesion after electrosurgical excisional treatment with positive margins: a meta-analysis. Sao Paulo Med J., São Paulo, v. 130, n. 2, p. 119-125, 2012. 10.1590/S1516-31802012000200009 |
| url |
https://www.arca.fiocruz.br/handle/icict/6245 |
| dc.language.iso.fl_str_mv |
por |
| language |
por |
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American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No. 99: management of abnormal cervical cytology and histology. Obstet Gynecol. 2008;112(6):1419-44. Lu CH, Liu FS, Kuo CJ, Chang CC, Ho ES. Prediction of persistence or recurrence after conization for cervical intraepithelial neoplasia III. Obstet Gynecol. 2006;107(4):830-5. Tyler LN, Andrews N, Parrish RS, Hazlett LJ, Korourian S. Significance of margin and extent of dysplasia in loop electrosurgery excision procedure biopsies performed for high-grade squamous intraepithelial lesion in predicting persistent disease. Arch Pathol Lab Med. 2007;131(4):622-4. Park JY, Lee SM, Yoo CW, et al. Risk factors predicting residual disease in subsequent hysterectomy following conization for cervical intraepithelial neoplasia (CIN) III and microinvasive cervical cancer. Gynecol Oncol. 2007;107(1):39-44. Manchanda R, Baldwin P, Crawford R, et al. Effect of margin status on cervical intraepithelial neoplasia recurrence following LLETZ in women over 50 years. BJOG. 2008;115(10):1238-42. Ghaem-Maghami S, Sagi S, Majeed G, Soutter WP. Incomplete excision of cervical intraepithelial neoplasia and risk of treatment failure: a meta-analysis. Lancet Oncol. 2007;8(11):985-93. Brasil. Ministério da Saúde. Instituto Nacional de Câncer. Nomenclatura Brasileira para Laudos Cervicais e Condutas Preconizadas: recomendações para profissionais de saúde [Brazilian Nomenclature for Cervical Cytology Reports and Guidelines]. J Bras Patol Med Lab. 2006;42(5):351-73. Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. Stroup DF, Berlin JA, Morton SC, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA. 2000;283(15):2008-12. Luesley D, Leeson S. Colposcopy and Programme Management. Guidelines for the NHS Cervical Screening Programme. NHSCSP Publication no 20. Sheffield: NHS Cancer Screening Programmes; 2010. Available from: http://www.cancerscreening.nhs.uk/cervical/publications/nhscsp20.pdf. Accessed in 2011 (Nov 4). Wright TC Jr, Massad LS, Dunton CJ, et al. 2006 consensus guidelines for the management of women with cervical intraepithelial neoplasia or adenocarcinoma in situ. Am J Obstet Gynecol. 2007;197(4):340-5. Grimes DA, Schulz KF. Bias and causal associations in observational research. Lancet. 2002;359(9302):248-52. Sacket DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB. Prognóstico. In: Sacket DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB, eds. Medicina baseada em evidências. Prática e ensino. Porto Alegre: Artmed; 2003. p. 109-17. Chang DY, Cheng WF, Torng PL, Chen RJ, Huang SC. Prediction of residual neoplasia based on histopathology and margin status of conization specimens. Gynecol Oncol. 1996;63(1):53-6. Goya-Canino MM, Falcón-Santana JM, Arencibia-Sánchez O, et al. Follow-up of high risk intraepithelial lesions after loop excision. Prog Obstet Ginecol. 2006;49(2):72-6. Available from: http://www.elsevier.es/en/revistas/progresos-obstetricia-ginecologia-151/follow-up-of-high-risk-intraepithelial-lesions-after-13084345-articulos-originales-2006. Accessed in 2011 (Nov 4). Gardeil F, Barry-Walsh C, Prendiville W, Clinch J, Turner MJ. Persistent intraepithelial neoplasia after excision for cervical intraepithelial neoplasia grade III. Obstet Gynecol. 1997;89(3):419-22. Verguts J, Bronselaer B, Donders G, et al. Prediction of recurrence after treatment for high-grade cervical intraepithelial neoplasia: the role of human papillomavirus testing and age at conisation. BJOG. 2006;113(11):1303-7. Bodner K, Bodner-Adler B, Wierrani F, et al. Is therapeutic conization sufficient to eliminate a high-risk HPV infection of the uterine cervix? A clinicopathological analysis. Anticancer Res. 2002;22(6B):3733-6. Fletcher RW, Fletcher SE. Revisões sistemáticas. In: Epidemiologia clínica: elementos essenciais. Porto Alegre: Artmed; 2006. p. 240-57. |
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