Cervical Intraepithelial Neoplasia
Conditions
Keywords
residual disease, central cone, predictive model
Brief summary
Cervical conization using the loop electrosurgical excision procedure (LEEP) is the standard treatment for patients with high-grade cervical intraepithelial neoplasia. Several studies have shown that excising a central cone reduces the rate of positive endocervical margins. The purpose of this study is to identify clinicopathological factors associated with residual disease in the central cone and to develop a predictive model to better determine which patients may require this additional procedure.
Detailed description
This study pretends to create a retrospective database including all patient who underwent a loop electrosurgical excision procedure by treatment for high-grade cervical intraepithelial neoplasia and create a a predictive model for top-hat resection in patients with high grade CIN
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* patients who underwent a loop electrosurgical excision procedure (LEEP)
Exclusion criteria
* a diagnosis of micro-invasion or nonsquamous histology * less than six months of follow-up * incomplete information in their clinical charts.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Identify the clinical and pathologic factors associated with residual disease | 1month | Whit the variables identified as factors associated with the residual disease develop a predictive model to determine which individuals may require additional procedures in the uterine cervix to ensure negative margins. |