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MINERVA GINECOLOGICA

A Journal on Obstetrics and Gynecology


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Minerva Ginecologica 2018 Jan 31

DOI: 10.23736/S0026-4784.18.04196-5

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Diagnostic accuracy of endocervicoscopy as preoperative tool to improve the excisional treatment of cervical pre-neoplastic lesions

Pasquale DE FRANCISCIS, Viviana LA MANNA, Antonio SCHIATTARELLA, Domenico AMBROSIO, Domenico LABRIOLA, Roberto PROCACCIANTI, Franco P. AMMATURO, Maddalena MORLANDO, Marco TORELLA

Polo Ostetrico-Ginecologico, Dipartimento della Donna, del Bambino e di Chirurgia Generale e Specialistica, Università degli Studi della Campania “Luigi Vanvitelli”, Naples, Italy


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AIM: To evaluate the diagnostic accuracy of endocervicoscopy as a pre-operative examination to improve the outcome of the excisional treatment (LEEP) of high-grade cervical preneoplastic lesions.
METHODS: Patients with histologic diagnosis of CIN II-CIN III undergoing LEEP divided in two groups: in Group A (85 women) a preoperative endocervicoscopy was performed, in Group B (85 women) no additional examination was performed before LEEP. The size of the surgical specimen (H, D, W) and the margins of the lesion were evaluated.
RESULTS: 74 women in group A and 80 in group B completed the follow-up. Group A showed significant correlation between colposcopic examination and endocervicoscopic examination (p=0.001, K=0.30) and between endocervicoscopic and definitive histological examination (p<0.05, K=0.16). The depth of the operative sample was significantly lower (p<.0001) in Group A (0.91 ± 0.4) than in Group B (1.58 ± 0.2), group A showe fewer patients B with positive endocervical margins than group B (3 vs. 17, p<002). Colposcopic, cytological and virological follow-up did not show significant differences between the two groups.
CONCLUSIONS: Endocervicoscopy as preoperative tool for excisional treatment of cervical lesions showed high diagnostic effectiveness and allows to perform a conservative surgery.


KEY WORDS: Endocervicoscopy - Colposcopy - Cervical intraepithelial lesion - Loop electrosurgical excision procedure

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Publication History

Article first published online: January 31, 2018
Manuscript accepted: January 29, 2018
Manuscript received: January 14, 2018

Cite this article as

De Franciscis P, La Manna V, Schiattarella A, Ambrosio D, Labriola D, Procaccianti R, et al. Diagnostic accuracy of endocervicoscopy as preoperative tool to improve the excisional treatment of cervical pre-neoplastic lesions. Minerva Ginecol 2018 Jan 31. DOI: 10.23736/S0026-4784.18.04196-5

Corresponding author e-mail

marco.torella@unicampania.it