Document Detail


Treatment of cervical dysplasia with the Fischer cone biopsy excisor in a family medicine office: a case series.
MedLine Citation:
PMID:  20207924     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to evaluate the use of the Fischer cone biopsy excisor (FCBE) as the primary electrode for treatment of cervical dysplasia in a family medicine office. METHODS: Retrospective analysis of cervical electrosurgical excision procedures in patients with cervical intraepithelial neoplasia (CIN) performed in our Family Medicine Center between 2002 and 2005. RESULTS: We reviewed 91 cases. Indication for excision was >or=CIN II in 86.8% of the patients. In the FCBE group (n = 86), 95% of the specimen margins were negative for dysplasia, 90% had no reported thermal artifact, and 81% were submitted unfragmented. In the FCBE and the loop electrosurgical excision procedure (LEEP) group (n = 5), 4 of the 5 specimens' margins were negative for dysplasia. Reported complications included palpitations or flushing during cervical block (32%), pain (9%), and heavy bleeding (3%). CONCLUSION: In this case series the use of the FCBE with or without the LEEP in a family medicine office provided a high rate of negative margins for dysplasia and a low rate of fragmentation and thermal artifact. Family physicians who perform LEEP can also use the FCBE safely in their offices to treat cervical dysplasia.
Authors:
Elie Mulhem; Elizabeth L Kennedy; David Lick
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Board of Family Medicine : JABFM     Volume:  23     ISSN:  1557-2625     ISO Abbreviation:  J Am Board Fam Med     Publication Date:    2010 Mar-Apr
Date Detail:
Created Date:  2010-03-08     Completed Date:  2010-06-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101256526     Medline TA:  J Am Board Fam Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  154-8     Citation Subset:  IM    
Affiliation:
Family Medicine Residency, William Beaumont Hospital, Troy, Michigan, USA. emulhem@beaumont.edu
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MeSH Terms
Descriptor/Qualifier:
Biopsy / instrumentation*
Cervical Intraepithelial Neoplasia
Cervix Uteri / pathology,  surgery
Colposcopy
Electrosurgery / instrumentation*
Equipment Design
Family Practice / education
Female
Humans
Internship and Residency
Neoplasm Staging
Patient Care Team*
Treatment Outcome
Uterine Cervical Dysplasia / pathology*,  surgery*
Uterine Cervical Neoplasms / pathology*,  surgery*
Vaginal Smears

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


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