How to optimize excisional procedures for the treatment of CIN? The role of colposcopy

Abstract

Use of colposcopy, and particularly of DCV during excisional procedures for CIN, allows for smaller surgical specimen without jeopardizing the margins status.

Risk Factors of Inadequate Colposcopy After Large Loop Excision of the Transformation Zone: A Prospective Cohort Study

“…In previous studies, the use of DCV was shown to help in minimizing the dimensions of the excised specimen, including the thickness, without compromising the margins status. 18,26,27 In addition to the potential subsequent obstetrical benefit, the systematic use of DCV should therefore also be recommended to reduce the risk of compromised post-LLETZ follow-up as a result of the reduction of the thickness of the excised tissue. However, independently to the thickness of the excised specimen, our study shows the use of DCV to significantly and massively reduce the risk of inadequate colposcopic examination.…”

In-situ-Karzinome von Vulva, Vagina und Zervix

“…In einer aktuellen Studie konnte zudem gezeigt werden, dass durch die direkte kolposkopische Sicht während der Konisation der Durchmesser des Konisationspräparats bei erhaltenen ausreichenden Resektionsebenen im Gesunden signifikant verringert werden konnte. Dadurch kann die intraoperative Kolposkopie eine geringere Traumatisierung mit geringeren OP-Risiken und Langzeitfolgen ermöglichen [8]. …”

Treatment of cervical intraepithelial neoplasia in outpatient practice

“…Colposcopic criteria for treatment of CIN colposcopy plays a central role in determining the treatment of precancerous lesions: the transformation zone (TZ) is where CIN occurs [4]. Treatment decision is made individually, based on a colposcopic assessment of the atypical lesion.…”

“…Treatment decision is made individually, based on a colposcopic assessment of the atypical lesion. three characteristics of the lesion were evaluated [4][5][6]:…”