دورية أكاديمية

A retrospective study for long-term oncologic and obstetric outcomes in cervical intraepithelial neoplasia treated with loop electrosurgical excision procedure: focus on surgical margin and human papillomavirus

التفاصيل البيبلوغرافية
العنوان: A retrospective study for long-term oncologic and obstetric outcomes in cervical intraepithelial neoplasia treated with loop electrosurgical excision procedure: focus on surgical margin and human papillomavirus
المؤلفون: Angela Cho, Min-Young Kim, In-Sun Park, Chul-Min Park
المصدر: BMC Women's Health, Vol 24, Iss 1, Pp 1-8 (2024)
بيانات النشر: BMC, 2024.
سنة النشر: 2024
المجموعة: LCC:Gynecology and obstetrics
LCC:Public aspects of medicine
مصطلحات موضوعية: Loop electrosurgical excision procedure, Cervical intraepithelial neoplasia, Human papilloma virus, Margin status, Obstetric outcomes, Oncologic outcomes, Gynecology and obstetrics, RG1-991, Public aspects of medicine, RA1-1270
الوصف: Abstract Background The present study aimed to evaluate the long-term oncological and obstetric outcomes following the loop electrosurgical excision procedure (LEEP) in patients with cervical intraepithelial neoplasia (CIN) and investigate the risk factors for recurrence and preterm birth. Methods This retrospective cohort study included patients who underwent LEEP for CIN 2–3 between 2011 and 2019. Demographic information, histopathological findings, postoperative cytology, and human papillomavirus (HPV) status were collected and analyzed. The Cox proportional hazards model and Kaplan-Meier curves with the log-rank test were used for risk factor analysis. Results A total of 385 patients treated with the LEEP were analyzed. Treatment failure, including recurrence or residual disease following surgery, was observed in 13.5% of the patients. Positive surgical margins and postoperative HPV detection were independent risk factors for CIN1 + recurrence or residual disease (HR 1.948 [95%CI 1.020–3.720], p = 0.043, and HR 6.848 [95%CI 3.652–12.840], p-value
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1472-6874
Relation: https://doaj.org/toc/1472-6874
DOI: 10.1186/s12905-024-02923-5
URL الوصول: https://doaj.org/article/c819685e25f041c0807788f1a6ee3b1c
رقم الأكسشن: edsdoj.819685e25f041c0807788f1a6ee3b1c
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:14726874
DOI:10.1186/s12905-024-02923-5