Evaluación de la indicación quirúrgica de conización e informes anatomopatológicos en pacientes con lesión intraepitelial escamosa cervical o cáncer de cuello uterino
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/31215 |
Resumo: | The objective of this study was to evaluate the concordance between indication of cold knife conization by cervical cytology (CC), biopsy, or large loop excision of the transformation zone (LLETZ), and the anatomopathological report of surgical specimens of patients with precancerous lesions of the cervix or cervical cancer. In addition, to observe the presence of residual lesion after LLETZ in cases of microinvasive squamous cell carcinoma (SCC) and margins with high-grade squamous intraepithelial lesion (HSIL). To this end, a retrospective study was conducted involving 82 women with cervical intraepithelial lesions or cancer aged between 28 and 71 years. Women had either CC, biopsy, or LLETZ between January 2014 and January 2020 and had cold knife conization indicated according to procedure results. Surgical indication was the result of CC in 30.5% of patients; in 12.2%, it was due to cervical biopsy, and in 24.4% of cases, it was due to CC confirmed by biopsy. Moreover, 32.9% of patients had the surgery done because of compromised margins after LLETZ procedure. Agreement was found in 57.3% of surgical indications, and 42.7% did not show concordance. Residual lesion was observed in 55.6% of women who underwent LLETZ, but in the group of microinvasive squamous cell carcinoma (SCC), there was a rate of 60% of no residual lesion. Therefore, it indicates that LLETZ appears to be an effective treatment for microinvasive SCC of the cervix, and a complementary surgery with cold knife conization seems not to be required when there are compromised margins with HSIL. |
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Evaluación de la indicación quirúrgica de conización e informes anatomopatológicos en pacientes con lesión intraepitelial escamosa cervical o cáncer de cuello uterinoAvaliação da indicação cirúrgica de conização clássica e resultados anatomopatológicos em pacientes com lesão intraepitelial cervical ou câncer do colo do útero Evaluation of surgery indication of cold knife conization and anatomopathological reports in patients with cervical squamous intraepithelial lesion or cervical cancerLesiones intraepiteliales escamosas de cuello uterinoNeoplasias del cuello uterinoConización.Squamous intraepithelial lesions of the cervixUterine cervical neoplasmsConization.Lesões intraepiteliais escamosas cervicaisNeoplasias do colo do úteroConização.The objective of this study was to evaluate the concordance between indication of cold knife conization by cervical cytology (CC), biopsy, or large loop excision of the transformation zone (LLETZ), and the anatomopathological report of surgical specimens of patients with precancerous lesions of the cervix or cervical cancer. In addition, to observe the presence of residual lesion after LLETZ in cases of microinvasive squamous cell carcinoma (SCC) and margins with high-grade squamous intraepithelial lesion (HSIL). To this end, a retrospective study was conducted involving 82 women with cervical intraepithelial lesions or cancer aged between 28 and 71 years. Women had either CC, biopsy, or LLETZ between January 2014 and January 2020 and had cold knife conization indicated according to procedure results. Surgical indication was the result of CC in 30.5% of patients; in 12.2%, it was due to cervical biopsy, and in 24.4% of cases, it was due to CC confirmed by biopsy. Moreover, 32.9% of patients had the surgery done because of compromised margins after LLETZ procedure. Agreement was found in 57.3% of surgical indications, and 42.7% did not show concordance. Residual lesion was observed in 55.6% of women who underwent LLETZ, but in the group of microinvasive squamous cell carcinoma (SCC), there was a rate of 60% of no residual lesion. Therefore, it indicates that LLETZ appears to be an effective treatment for microinvasive SCC of the cervix, and a complementary surgery with cold knife conization seems not to be required when there are compromised margins with HSIL.El objetivo de este trabajo fue evaluar la concordancia entre la indicación de conización por citología cervical (CC), biopsia o escisión de la zona de transformación (EZT), y el informe patológico de muestras quirúrgicas de pacientes con lesiones precancerosas o cáncer de cuello uterino. Además, observar la presencia de lesión residual después de EZT com carcinoma de células escamosas (CEC) microinvasivo y márgenes con lesión intraepitelial de alto grado (LIEAG). Para ello, se realizó estudio retrospectivo con participación de 82 mujeres con lesiones intraepiteliales cervicales o cáncer de cuello uterino de entre 28 y 71 años. Se sometieron a CC, biopsia o EZT entre enero de 2014 y enero de 2020 y tuvieron conización indicada de acuerdo con los resultados del procedimiento. La indicación de conización fue el resultado de CC en el 30.5% de los casos; en el 12.2%, se debió a biopsia, y en el 24.4%, se debió a CC confirmado por biopsia. Además, el 32.9% de las mujeres presentaron indicación debido a márgenes comprometidos después de un EZT. Se encontró concordancia en el 57.3% de las indicaciones quirúrgicas y el 42,7% no estuvo de acuerdo. Se observó lesión residual en el 55.6% de todas las pacientes sometidas a EZT, pero en el grupo de CEC microinvasivo, hubo una tasa del 60% de ninguna lesión residual. Por lo tanto, EZT parece ser un tratamiento efectivo para el CEC microinvasivo del cuello uterino, y la cirugía complementaria con conización no parece ser necesaria para los márgenes comprometidos con LIEAG.O objetivo desse trabalho fundamentou-se em avaliar a concordância entre a indicação cirúrgica de conização clássica por citologia cervical (CC), biópsia ou excisão da zona de transformação (EZT), e o resultado anatomopatológico final das pacientes submetidas ao procedimento devido a lesões precursoras ou câncer do colo do útero. Além disso, visou observar a presença de lesão residual após EZT com diagnóstico histológico de carcinoma espinocelular (CEC) microinvasivo e margens comprometidas por lesão intraepitelial de alto grau (LIEAG). Para tal, realizou-se estudo retrospectivo envolvendo 82 mulheres com lesões intraepiteliais cervicais ou câncer com idade entre 28 e 71 anos. Estas foram submetidas a citologia cervicovaginal, biópsia de colo ou EZT entre janeiro de 2014 e janeiro de 2020 e tiveram a conização clássica indicada de acordo com os resultados dos procedimentos diagnósticos. A indicação cirúrgica foi a citologia em 30.5% dos casos; em 12.2%, foi devido à biópsia cervical, e em 24.4%, devido à citologia confirmada pela biópsia. Além disso, 32.9% das pacientes tiveram a cirurgia realizada devido a margens comprometidas após EZT. Foi encontrada concordância em 57.3% das indicações e 42.7% não apresentaram concordância. Observou-se lesão residual em 55.6% de todas as pacientes submetidas a EZT, mas no grupo de CEC microinvasivo, houve taxa de 60% de ausência de lesão residual na peça cirúrgica da conização. Portanto, isso indica que a EZT parece ser tratamento eficaz para o CEC microinvasivo do colo do útero, e uma cirurgia complementar parece não ser necessária na presença de margens comprometidas por LIEAG.Research, Society and Development2022-10-04info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3121510.33448/rsd-v11i13.31215Research, Society and Development; Vol. 11 No. 13; e383111331215Research, Society and Development; Vol. 11 Núm. 13; e383111331215Research, Society and Development; v. 11 n. 13; e3831113312152525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/31215/29596Copyright (c) 2022 Bárbara Bomfim Muniz Moraes; Maria Gabriela Baumgarten Kuster Uyeda ; Patrícia Napoli Belfort Mattos; Bruna Cristine de Almeida ; Madalena Leonor Pereira Campos ; Gustavo Rubino de Azevedo Focchi; Neila Maria Góis Speck ; Fernanda Kesselring Tsohttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessMoraes, Bárbara Bomfim Muniz Uyeda , Maria Gabriela Baumgarten Kuster Mattos, Patrícia Napoli BelfortAlmeida , Bruna Cristine de Campos , Madalena Leonor Pereira Focchi, Gustavo Rubino de Azevedo Speck , Neila Maria Góis Tso, Fernanda Kesselring2022-10-17T13:43:46Zoai:ojs.pkp.sfu.ca:article/31215Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:47:38.775452Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Evaluación de la indicación quirúrgica de conización e informes anatomopatológicos en pacientes con lesión intraepitelial escamosa cervical o cáncer de cuello uterino Avaliação da indicação cirúrgica de conização clássica e resultados anatomopatológicos em pacientes com lesão intraepitelial cervical ou câncer do colo do útero Evaluation of surgery indication of cold knife conization and anatomopathological reports in patients with cervical squamous intraepithelial lesion or cervical cancer |
title |
Evaluación de la indicación quirúrgica de conización e informes anatomopatológicos en pacientes con lesión intraepitelial escamosa cervical o cáncer de cuello uterino |
spellingShingle |
Evaluación de la indicación quirúrgica de conización e informes anatomopatológicos en pacientes con lesión intraepitelial escamosa cervical o cáncer de cuello uterino Moraes, Bárbara Bomfim Muniz Lesiones intraepiteliales escamosas de cuello uterino Neoplasias del cuello uterino Conización. Squamous intraepithelial lesions of the cervix Uterine cervical neoplasms Conization. Lesões intraepiteliais escamosas cervicais Neoplasias do colo do útero Conização. |
title_short |
Evaluación de la indicación quirúrgica de conización e informes anatomopatológicos en pacientes con lesión intraepitelial escamosa cervical o cáncer de cuello uterino |
title_full |
Evaluación de la indicación quirúrgica de conización e informes anatomopatológicos en pacientes con lesión intraepitelial escamosa cervical o cáncer de cuello uterino |
title_fullStr |
Evaluación de la indicación quirúrgica de conización e informes anatomopatológicos en pacientes con lesión intraepitelial escamosa cervical o cáncer de cuello uterino |
title_full_unstemmed |
Evaluación de la indicación quirúrgica de conización e informes anatomopatológicos en pacientes con lesión intraepitelial escamosa cervical o cáncer de cuello uterino |
title_sort |
Evaluación de la indicación quirúrgica de conización e informes anatomopatológicos en pacientes con lesión intraepitelial escamosa cervical o cáncer de cuello uterino |
author |
Moraes, Bárbara Bomfim Muniz |
author_facet |
Moraes, Bárbara Bomfim Muniz Uyeda , Maria Gabriela Baumgarten Kuster Mattos, Patrícia Napoli Belfort Almeida , Bruna Cristine de Campos , Madalena Leonor Pereira Focchi, Gustavo Rubino de Azevedo Speck , Neila Maria Góis Tso, Fernanda Kesselring |
author_role |
author |
author2 |
Uyeda , Maria Gabriela Baumgarten Kuster Mattos, Patrícia Napoli Belfort Almeida , Bruna Cristine de Campos , Madalena Leonor Pereira Focchi, Gustavo Rubino de Azevedo Speck , Neila Maria Góis Tso, Fernanda Kesselring |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Moraes, Bárbara Bomfim Muniz Uyeda , Maria Gabriela Baumgarten Kuster Mattos, Patrícia Napoli Belfort Almeida , Bruna Cristine de Campos , Madalena Leonor Pereira Focchi, Gustavo Rubino de Azevedo Speck , Neila Maria Góis Tso, Fernanda Kesselring |
dc.subject.por.fl_str_mv |
Lesiones intraepiteliales escamosas de cuello uterino Neoplasias del cuello uterino Conización. Squamous intraepithelial lesions of the cervix Uterine cervical neoplasms Conization. Lesões intraepiteliais escamosas cervicais Neoplasias do colo do útero Conização. |
topic |
Lesiones intraepiteliales escamosas de cuello uterino Neoplasias del cuello uterino Conización. Squamous intraepithelial lesions of the cervix Uterine cervical neoplasms Conization. Lesões intraepiteliais escamosas cervicais Neoplasias do colo do útero Conização. |
description |
The objective of this study was to evaluate the concordance between indication of cold knife conization by cervical cytology (CC), biopsy, or large loop excision of the transformation zone (LLETZ), and the anatomopathological report of surgical specimens of patients with precancerous lesions of the cervix or cervical cancer. In addition, to observe the presence of residual lesion after LLETZ in cases of microinvasive squamous cell carcinoma (SCC) and margins with high-grade squamous intraepithelial lesion (HSIL). To this end, a retrospective study was conducted involving 82 women with cervical intraepithelial lesions or cancer aged between 28 and 71 years. Women had either CC, biopsy, or LLETZ between January 2014 and January 2020 and had cold knife conization indicated according to procedure results. Surgical indication was the result of CC in 30.5% of patients; in 12.2%, it was due to cervical biopsy, and in 24.4% of cases, it was due to CC confirmed by biopsy. Moreover, 32.9% of patients had the surgery done because of compromised margins after LLETZ procedure. Agreement was found in 57.3% of surgical indications, and 42.7% did not show concordance. Residual lesion was observed in 55.6% of women who underwent LLETZ, but in the group of microinvasive squamous cell carcinoma (SCC), there was a rate of 60% of no residual lesion. Therefore, it indicates that LLETZ appears to be an effective treatment for microinvasive SCC of the cervix, and a complementary surgery with cold knife conization seems not to be required when there are compromised margins with HSIL. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-10-04 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/31215 10.33448/rsd-v11i13.31215 |
url |
https://rsdjournal.org/index.php/rsd/article/view/31215 |
identifier_str_mv |
10.33448/rsd-v11i13.31215 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/31215/29596 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 13; e383111331215 Research, Society and Development; Vol. 11 Núm. 13; e383111331215 Research, Society and Development; v. 11 n. 13; e383111331215 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052796164374528 |