Document Detail


Absent endocervical cells on Pap smears after loop electrosurgical excision procedure.
MedLine Citation:
PMID:  17596757     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the absence of endocervical cells on Pap smear after loop electrosurgical excision procedure (LEEP) as a possible marker for cervical stenosis. MATERIALS AND METHODS: All LEEPs performed at a public health teaching hospital caring for the indigent between July 1, 1999, and September 30, 2002, were reviewed; 1,190 eligible charts of patients were reviewed, and extracted data included the following: age, parity, ethnicity, histology obtained during colposcopy, volume of loop specimen taken, and follow-up Pap smear results. RESULTS: One thousand four hundred twenty-one patients had LEEPs during this period. One thousand one hundred ninety first follow-up Pap smears were evaluated; 200 patients had no follow-up Pap smears. The baseline background rate for absent endocervical cells was 7% for the general population. The study showed that the rate of absent endocervical cells on first follow-up Pap smears was 13.64% (173/1,193) (p = .03). The mean age of patients was 33.6 years; 11% (20/1,193) were aged older than 50 years. There was no significant difference with age and parity in the stenosis versus nonstenosis group. CONCLUSION: The LEEP was significantly associated with absent endocervical cells on follow-up Pap smears, which may be indicative of cervical stenosis.
Authors:
Terry S Dunn; Elaine Landry; Christina Ring; Christina Martin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of lower genital tract disease     Volume:  11     ISSN:  1089-2591     ISO Abbreviation:  J Low Genit Tract Dis     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-28     Completed Date:  2007-09-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9704963     Medline TA:  J Low Genit Tract Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  138-40     Citation Subset:  IM    
Affiliation:
University of Colorado Health Science Center, Denver Health Medical Center, Denver, CO 80204, USA. tdunnmd@urogyns.com
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MeSH Terms
Descriptor/Qualifier:
Cervical Intraepithelial Neoplasia / diagnosis*,  pathology
Electrosurgery*
Female
Humans
Uterine Cervical Neoplasms / diagnosis*,  pathology
Vaginal Smears*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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