Treatment Options for High-Grade Squamous Intraepithelial Lesions

被引：14

作者：

Long, Stephanie ^{[1
]}

Leeman, Lawrence ^{[1
]}

机构：

[1] Univ New Mexico, Dept Family & Community Med, Albuquerque, NM 87131 USA

来源：

OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA | 2013年 / 40卷 / 02期

关键词：

Human papillomavirus; High-grade squamous intraepithelial lesion; Cervical intraepithelial neoplasia; Cervical cancer; See and treat; Cryotherapy; Loop electrosurgical excision procedure; Cold knife conization; ELECTROSURGICAL EXCISION PROCEDURE; HUMAN-PAPILLOMAVIRUS; PRETERM BIRTH; FOLLOW-UP; LOOP EXCISION; UNITED-STATES; PRECANCEROUS CHANGES; CERVICAL DISEASE; SEXUAL FUNCTION; HPV INFECTION;

D O I：

10.1016/j.ogc.2013.03.004

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The introduction of testing for high-risk HPV types and P16 immunostaining of CIN2 histologic specimens allows for determination of the risk of progression versus regression for a woman with a particular cytologic or histologic specimen. Observation with serial cytological or colposcopic examinations is now appropriate for women with low-grade histologic lesions as well as pregnant and young women with certain high-grade histologic lesions. Current recommendations for management of high-grade lesions, the efficacy of treatment options (cryotherapy and LEEP), and the immediate (bleeding, infection) and longer term complications (cervical incompetence, preterm delivery) of cervical dysplasia treatment are presented.

引用

页码：291 / +

页数：27

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