| Treatment of cervical dysplasia with the Fischer cone biopsy excisor in a family medicine office: a case series. | |
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MedLine Citation:
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PMID: 20207924 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Elie Mulhem; Elizabeth L Kennedy; David Lick |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2010-03-08 Completed Date: 2010-06-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101256526 Medline TA: J Am Board Fam Med Country: United States |
Other Details:
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Languages: eng Pagination: 154-8 Citation Subset: IM |
Affiliation:
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Family Medicine Residency, William Beaumont Hospital, Troy, Michigan, USA. emulhem@beaumont.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Biopsy
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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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