Resultado da cirurgia com alça de alta freqüência e localização colposcópica da área com atipia ectocervical

• Autor(a) principal: Cardoso, Maria Silvana [UNIFESP]
• Data de Publicação: 2001
• Outros Autores: Ribalta, Julisa Chamorro Lascasas [UNIFESP], Taha, Nabiha Saadi Abrahão [UNIFESP], Focchi, José [UNIFESP], Baracat, Edmund Chada [UNIFESP], Lima, Geraldo Rodrigues [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/S0100-72032001000600002; http://repositorio.unifesp.br/handle/11600/1195
• topic: Colposcopy; Loop electrosurgical excision procedure, LEEP; Uterine cervix; Colpocytology; Conization; Colposcopia; Cirurgia com alça de alta freqüência; Colo; Colpocitologia; Conização

Purpose: to evaluate the histopathologic results of cone specimens of patients undergoing loop electrosurgical excision procedure (LEEP) and their relationship with the localization of the lesion. Methods: in a retrospective study, 134 clinical reports of patients with abnormal findings of cervical cytology and/or biopsy undergoing LEEP were reviewed. The colposcopic findings were divided into three groups according to the localization of the lesion. Group I (n = 36): patients with ectocervical lesions and fully visible squamocolumnar junction; Group II (n = 50): patients with lesions at the ectocervix and endocervix, and Group III (n = 48): patients with unsatisfactory colposcopy. Results: the mean age in Group I was 33 years and there were 8.3% positive margins. In Group II the mean age was 39 years, with 36% positive margins. Group III had a mean age of 48 years and presented 29.2% positive margins. The percentage of residual disease was 4.2% in Group I, 31.6% in Group II and 35.5% in Group III. Conclusion: patients with lesions at the endocervical canal showed a higher rate of positive margins. Patients with high-grade cervical intraepithelial neoplasia at the endocervical canal and older than 40 years have a greater chance of showing positive margins and residual disease, therefore requiring stricter cytologic and colposcopic follow-up.