Valor do dilatador higroscópico para visualização do canal endocervical na conização com cirurgia de alta freqüência
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S0100-72032004000300007 http://repositorio.unifesp.br/handle/11600/2044 |
Resumo: | OBJECTIVE: to evaluate the effectiveness of the hygroscopic dilator in the colposcopic examination of the endocervical canal in patients with high-grade lesion in the cytopathology and unsatisfactory colposcopy. METHODS: prospective study, including 62 patients with unsatisfactory colposcopic examination and cytology compatible with high-grade intraepithelial lesion. The patients were submitted to dilation of the endocervical canal by means of a hygroscopic dilator. After dilation, the new colposcopic findings were recorded, and then conization was made through loop electrosurgical excision procedure. The incidence of neoplasic involvement of surgical margins was compared between patients with examinations modified toward satisfactory results and those that remained with unsatisfactory colposcopy. In order to compare the incidence of involved margins and the incidence of residual disease, two retrospective control-groups were used: the GinSat group (n = 35): patients with unsatisfactory colposcopy; GSat group (n = 38): patients with satisfactory colposcopy and endocervical atypy. RESULTS: 80.6% of the cases presented satisfactory colposcopic vision after dilation. 80.4% of those presented disease-free resection margins. The incidence of disease-free resection margins in patients with persistent unsatisfactory colposcopy after dilation was 36.3%. Affected surgical margins occurred in 28% of the group that had undergone dilation, 28.5% of the cases in GinSat group, and 31.5% in the Gsat group. Follow-up showed the incidence of residual disease in 7.5% of the patients under dilation, 28.5% in the GinSat group and 28.9% in the GSat group. CONCLUSION: the use of hygroscopic dilation improved visualization of lesions of difficult access to the colposcopic examination, thus permitting reduction in the percentage of residual neoplasic disease in patients with unsatisfactory colposcopy treated with loop electrosurgical excision procedure. |
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Valor do dilatador higroscópico para visualização do canal endocervical na conização com cirurgia de alta freqüênciaValue of the hygroscopic dilator for visualization of the endocervical canal in conization by loop electrosurgical excision procedureColposcopyUnsatisfactory colposcopyCervical intraepithelial neoplasiaColposcopiaColposcopia insatisfatóriaColo do úteroConizaçãoOBJECTIVE: to evaluate the effectiveness of the hygroscopic dilator in the colposcopic examination of the endocervical canal in patients with high-grade lesion in the cytopathology and unsatisfactory colposcopy. METHODS: prospective study, including 62 patients with unsatisfactory colposcopic examination and cytology compatible with high-grade intraepithelial lesion. The patients were submitted to dilation of the endocervical canal by means of a hygroscopic dilator. After dilation, the new colposcopic findings were recorded, and then conization was made through loop electrosurgical excision procedure. The incidence of neoplasic involvement of surgical margins was compared between patients with examinations modified toward satisfactory results and those that remained with unsatisfactory colposcopy. In order to compare the incidence of involved margins and the incidence of residual disease, two retrospective control-groups were used: the GinSat group (n = 35): patients with unsatisfactory colposcopy; GSat group (n = 38): patients with satisfactory colposcopy and endocervical atypy. RESULTS: 80.6% of the cases presented satisfactory colposcopic vision after dilation. 80.4% of those presented disease-free resection margins. The incidence of disease-free resection margins in patients with persistent unsatisfactory colposcopy after dilation was 36.3%. Affected surgical margins occurred in 28% of the group that had undergone dilation, 28.5% of the cases in GinSat group, and 31.5% in the Gsat group. Follow-up showed the incidence of residual disease in 7.5% of the patients under dilation, 28.5% in the GinSat group and 28.9% in the GSat group. CONCLUSION: the use of hygroscopic dilation improved visualization of lesions of difficult access to the colposcopic examination, thus permitting reduction in the percentage of residual neoplasic disease in patients with unsatisfactory colposcopy treated with loop electrosurgical excision procedure.OBJETIVO: avaliar a eficácia do dilatador higroscópico para auxiliar o exame colposcópico do canal endocervical, em pacientes com lesão de alto grau e colposcopia insatisfatória. MÉTODOS: estudo prospectivo no qual foram incluídas 62 pacientes com exames colposcópicos insatisfatórios e citologia sugestiva de lesão de alto grau. Todas foram submetidas à dilatação do canal por meio de dilatador higroscópico. Após a dilatação os novos achados colposcópicos foram registrados e procedeu-se à conização por cirurgia de alta freqüência (CAF). Comparamos a incidência de comprometimento neoplásico das margens cirúrgicas operatórias entre as pacientes que modificaram o exame para satisfatório e aquelas que persistiram insatisfatórios. Para comparação entre a incidência de margens comprometidas e a incidência de doença residual, foram utilizados dois grupos controle retrospectivos: grupo GinSat (n=35): pacientes com colposcopias insatisfatórias; grupo GSat (n=38): pacientes com colposcopias satisfatórias e atipia de localização endocervical. RESULTADOS: em 80,6% dos casos a visão colposcópica após a dilatação foi satisfatória. Destes, 80,4% apresentaram margens livres de doença. A incidência de margens livres nas pacientes com colposcopias insatisfatórias persistentes após a dilatação foi de 36,3%. O comprometimento das margens cirúrgicas ocorreu em 28,0% no grupo submetido à dilatação, em 28,5% dos casos no grupo GinSat e em 31,5% no grupo GSat. No acompanhamento verificou-se a incidência de 7,5% de doença residual nas pacientes submetidas à dilatação. No grupo GinSat a incidência de doença residual foi de 28,6% e no grupo GSat foi de 28,9%. CONCLUSÃO: o uso do dilatador higroscópico facilitou a visualização de lesões de difícil acesso ao exame colposcópico, permitindo diminuir a porcentagem de doença residual em pacientes com colposcopias insatisfatórias submetidas à conização por cirurgia de alta freqüência.Faculdade de Medicina de ItajubáUniversidade Federal de São Paulo (UNIFESP) Departamento de GinecologiaUNIFESP, Depto. de GinecologiaSciELOFederação Brasileira das Sociedades de Ginecologia e ObstetríciaFaculdade de Medicina de ItajubáUniversidade Federal de São Paulo (UNIFESP)Ferreira, Maria Silvana CardosoRibalta, Julisa Chamorro Lascasas [UNIFESP]Focchi, José [UNIFESP]Taha, Nabiha Saadi Abrahão [UNIFESP]Stávale, João Norberto [UNIFESP]Linhares, Elizabete Rautman Cezarino [UNIFESP]Baracat, Edmund Chada [UNIFESP]2015-06-14T13:30:20Z2015-06-14T13:30:20Z2004-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion213-219application/pdfhttp://dx.doi.org/10.1590/S0100-72032004000300007Revista Brasileira de Ginecologia e Obstetrícia. Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, v. 26, n. 3, p. 213-219, 2004.10.1590/S0100-72032004000300007S0100-72032004000300007.pdf0100-7203S0100-72032004000300007http://repositorio.unifesp.br/handle/11600/2044porRevista Brasileira de Ginecologia e Obstetríciainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-06T17:21:01Zoai:repositorio.unifesp.br/:11600/2044Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-06T17:21:01Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Valor do dilatador higroscópico para visualização do canal endocervical na conização com cirurgia de alta freqüência Value of the hygroscopic dilator for visualization of the endocervical canal in conization by loop electrosurgical excision procedure |
title |
Valor do dilatador higroscópico para visualização do canal endocervical na conização com cirurgia de alta freqüência |
spellingShingle |
Valor do dilatador higroscópico para visualização do canal endocervical na conização com cirurgia de alta freqüência Ferreira, Maria Silvana Cardoso Colposcopy Unsatisfactory colposcopy Cervical intraepithelial neoplasia Colposcopia Colposcopia insatisfatória Colo do útero Conização |
title_short |
Valor do dilatador higroscópico para visualização do canal endocervical na conização com cirurgia de alta freqüência |
title_full |
Valor do dilatador higroscópico para visualização do canal endocervical na conização com cirurgia de alta freqüência |
title_fullStr |
Valor do dilatador higroscópico para visualização do canal endocervical na conização com cirurgia de alta freqüência |
title_full_unstemmed |
Valor do dilatador higroscópico para visualização do canal endocervical na conização com cirurgia de alta freqüência |
title_sort |
Valor do dilatador higroscópico para visualização do canal endocervical na conização com cirurgia de alta freqüência |
author |
Ferreira, Maria Silvana Cardoso |
author_facet |
Ferreira, Maria Silvana Cardoso Ribalta, Julisa Chamorro Lascasas [UNIFESP] Focchi, José [UNIFESP] Taha, Nabiha Saadi Abrahão [UNIFESP] Stávale, João Norberto [UNIFESP] Linhares, Elizabete Rautman Cezarino [UNIFESP] Baracat, Edmund Chada [UNIFESP] |
author_role |
author |
author2 |
Ribalta, Julisa Chamorro Lascasas [UNIFESP] Focchi, José [UNIFESP] Taha, Nabiha Saadi Abrahão [UNIFESP] Stávale, João Norberto [UNIFESP] Linhares, Elizabete Rautman Cezarino [UNIFESP] Baracat, Edmund Chada [UNIFESP] |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Faculdade de Medicina de Itajubá Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Ferreira, Maria Silvana Cardoso Ribalta, Julisa Chamorro Lascasas [UNIFESP] Focchi, José [UNIFESP] Taha, Nabiha Saadi Abrahão [UNIFESP] Stávale, João Norberto [UNIFESP] Linhares, Elizabete Rautman Cezarino [UNIFESP] Baracat, Edmund Chada [UNIFESP] |
dc.subject.por.fl_str_mv |
Colposcopy Unsatisfactory colposcopy Cervical intraepithelial neoplasia Colposcopia Colposcopia insatisfatória Colo do útero Conização |
topic |
Colposcopy Unsatisfactory colposcopy Cervical intraepithelial neoplasia Colposcopia Colposcopia insatisfatória Colo do útero Conização |
description |
OBJECTIVE: to evaluate the effectiveness of the hygroscopic dilator in the colposcopic examination of the endocervical canal in patients with high-grade lesion in the cytopathology and unsatisfactory colposcopy. METHODS: prospective study, including 62 patients with unsatisfactory colposcopic examination and cytology compatible with high-grade intraepithelial lesion. The patients were submitted to dilation of the endocervical canal by means of a hygroscopic dilator. After dilation, the new colposcopic findings were recorded, and then conization was made through loop electrosurgical excision procedure. The incidence of neoplasic involvement of surgical margins was compared between patients with examinations modified toward satisfactory results and those that remained with unsatisfactory colposcopy. In order to compare the incidence of involved margins and the incidence of residual disease, two retrospective control-groups were used: the GinSat group (n = 35): patients with unsatisfactory colposcopy; GSat group (n = 38): patients with satisfactory colposcopy and endocervical atypy. RESULTS: 80.6% of the cases presented satisfactory colposcopic vision after dilation. 80.4% of those presented disease-free resection margins. The incidence of disease-free resection margins in patients with persistent unsatisfactory colposcopy after dilation was 36.3%. Affected surgical margins occurred in 28% of the group that had undergone dilation, 28.5% of the cases in GinSat group, and 31.5% in the Gsat group. Follow-up showed the incidence of residual disease in 7.5% of the patients under dilation, 28.5% in the GinSat group and 28.9% in the GSat group. CONCLUSION: the use of hygroscopic dilation improved visualization of lesions of difficult access to the colposcopic examination, thus permitting reduction in the percentage of residual neoplasic disease in patients with unsatisfactory colposcopy treated with loop electrosurgical excision procedure. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-04-01 2015-06-14T13:30:20Z 2015-06-14T13:30:20Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0100-72032004000300007 Revista Brasileira de Ginecologia e Obstetrícia. Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, v. 26, n. 3, p. 213-219, 2004. 10.1590/S0100-72032004000300007 S0100-72032004000300007.pdf 0100-7203 S0100-72032004000300007 http://repositorio.unifesp.br/handle/11600/2044 |
url |
http://dx.doi.org/10.1590/S0100-72032004000300007 http://repositorio.unifesp.br/handle/11600/2044 |
identifier_str_mv |
Revista Brasileira de Ginecologia e Obstetrícia. Federação Brasileira das Sociedades de Ginecologia e Obstetrícia, v. 26, n. 3, p. 213-219, 2004. 10.1590/S0100-72032004000300007 S0100-72032004000300007.pdf 0100-7203 S0100-72032004000300007 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Revista Brasileira de Ginecologia e Obstetrícia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
213-219 application/pdf |
dc.publisher.none.fl_str_mv |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
publisher.none.fl_str_mv |
Federação Brasileira das Sociedades de Ginecologia e Obstetrícia |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
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1814268319957516288 |