Hpv cervical cancer procedure

hpv cervical cancer procedure

The Cervix - cysoft.ro

This is achieved by the excision or ablation of the squamous-cylindrical area up to the healthy tissue. In the case of persistence of high-grade lesions after repeated excision and if the helminth infections diagnosis and treatment does not want to preserve fertility, hysterectomy may be indicated.

This is a surgical procedure that can be indicated for benign gynaecological pathology, preinvasive cervical neoplasia and stage IA1 of cervical cancer. Conization was the surgical choice in patients with cervical intraepithelial neoplasia, under 35 years of age, who wanted to conserve fertility and did not have other gynaecological lesions. Hysterectomy was the surgical treatment in patients over 35 years of age, hpv cervical cancer procedure finished pregnancy planning and associated uterine pathology to hpv cervical cancer procedure cervical neoplasia.

hpv cervical cancer procedure

Keywords management of cervical intraepithelial neoplasia, conservative treatment, radical treatment Rezumat Tratamentul neoplaziei intraepiteliale cervicale vizează eli­mi­­na­rea zonei de joncţiune, inclusiv a ţesuturilor anor­ma­­le.

Acest lucru se realizează prin excizia sau ablaţia zo­nei scuamo-cilindrice până la ţesutul sănătos. În cazul per­sis­ten­ţei leziunilor de grad înalt după excizie repetată şi în cazul în hpv cervical cancer procedure pacienta nu doreşte să îşi prezerve fertilitatea, poate fi indicată histerectomia.

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Aceasta este o procedură chirurgicală care poa­te fi indicată pentru patologia ginecologică benignă, neo­pla­zia cervicală preinvazivă şi pentru stadiul IA1 al cancerulului de col uterin. Obiectivul studiului a fost selectarea pacientelor în funcţie de managementul neoplaziei intraepiteliale cer­vi­­ca­­­le, luând în considerare gradul leziunii cervicale, zona de extensie, vârsta pacientelor şi dorinţa de menţinere a fer­ti­­li­tă­ţii, precum şi patologia asociată cu leziunile cervicale.

Co­ni­za­ţia a fost procedura chirurgicală selectată la pacientele cu neoplazie intraepitelială cervicală, sub 35 de ani, care au dorit să-şi prezerve fertilitatea şi nu au avut alte leziuni gi­ne­­co­logice. Histerectomia a fost tratamentul chirurgical la pa­­cien­­te­le cu vârsta de peste 35 de ani, fără dorinţă de pro­creare şi patologie uterină asociată cu neoplazia cervicală intra­epi­te­lială.

hpv cervical cancer procedure

Cuvinte cheie managementul neoplaziei intraepiteliale cervicale hpv cervical cancer procedure conservativ tratament radical Introduction The treatment of cervical intraepithelial neoplasia aims at removing the junction area, including abnormal tissues. Ablation procedures — electrofulguration, cryosurgery, carbon dioxide laser — are an effective therapeutic way for non-invasive lesions, but they destroy tissues and cannot perform a proper histological assessment.

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It is absolutely necessary to exclude the possibility of neoplasia by cytological, colposcopic and histological examinations before applying ablative procedures. Hpv cervical cancer procedure is a surgical procedure that allows the complete histological evaluation of the piece, having both diagnostic and therapeutic character. It is indicated for patients with suspected invasive cancer lesions and endocervical adenocarcinoma, high-grade lesion in cytology, unsatisfactory colposcopy and cervical intraepithelial neoplasia CIN diagnosed at the fragmentary biopsy, requiring treatment, and for patients with recurrent atypical glandular cell cytology AGC of recurrent high-grade CIN.

The patients with recurrent CIN hpv cervical cancer procedure an increased risk for occult invasive cancer 1.

The Cervix

The excision procedures — with electric loop LEEP, conization — increase the risk of complications, affecting the reproductive capacity: cervical canal stenosis, cervico-ischemic incompetence, premature birth, premature rupture of membranes 2. The patients with an interval of less than months between conization and pregnancy are at risk of premature birth 3.

It offers specialists complete instruction in colposcopic procedures, as well as the histopathologic background needed to reach an accurate diagnosis. From equipment and techniques, to detection of normal and abnormal findings, to differential diagnosis and therapeutic guidelines, this book is unrivalled in the literature. It is indispensable for all physicians who perform colposcopy in everyday practice. Hpv cervical cancer procedure features of the fourth edition: More than oversized, high-quality colposcopic photographs depicting a wide range of common and rare conditions with astounding visual clarity Updated information on the central role of the human papillomavirus in cervical cancer and HPV vaccines to prevent it New chapters on colposcopy of the vulva, vagina, and perianal region and the common etiology of lesions at these sites Current international guidelines and updated nomenclature based on the 14th World Congress of the International Federation for Colposcopy and Cervical Pathology IFCPC and the WHO Classification of Tumors of Female Reproductive Organs The combined expertise of authors trained in both clinical gynecology and histopathology in one unique, didactic atlas Focusing throughout on the integrated presentation of colposcopic findings with their underlying pathology, this book offers a full understanding of morphologic appearance and clinical diagnosis. It is essential for gynecologists and obstetricians, gynecologic oncologists, pathologists, residents, fellows, trainees, and other physicians working toward the prevention, early detection, and the best possible treatment outcomes in cervical carcinoma.

The association with premature birth is uncertain, a number of studies demonstrating an increase in risk, while other studies did not support this hypothesis On this basis, the treatment is preferred for the eradication of high-grade injuries. In the case of persistence of high-grade lesions after repeated excisions and if the patient does not hpv cervical cancer procedure to preserve fertility, hysterectomy may be indicated. Simple hysterectomy involves the removal of the uterus and cervix, but does not involve the excision of parameters and paracolpos.

Sebastian Faro. Raymond H. Kaufman and Ervin Adam. Part 6A Cervical neoplasia: natural history and pathology. Anita Koushik and Eduardo L.

It is a surgical procedure that can be indicated for benign gynaecological pathology, preinvasive cervical neoplasia and stage IA1 of cervical cancer. Adenocarcinoma in situ is diagnosed at younger ages The therapeutic objective is to excise all affected tissues after eliminating the diagnosis of invasiveness.

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It is indicated the cold scalpel conization to keep the edges and to facilitate the histological interpretation. Hysterectomy is indicated after the maternity is ended 12, Method The study was conducted on a total of 44 patients, between January and May The patients were aged between 21 and 50 years old, and they were divided into two groups: years old and years old.

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Patients came in for routine gynaecological examination, persistent leucorrhoea or minimal vaginal bleeding after local washing or sexual intercourse. The objective gynaecological examination revealed the shape and consistency of the cervix, the presence or absence of macroscopically visible exocervical lesions. Investigations such as cervico-vaginal cytology, HPV testing and genotyping, colposcopy and fragmentary biopsy or conization were performed to determine the extent of cervical lesions. Detailed anamnesis, gynaecological clinical examination, biopsy curettage and ultrasound revealed in 17 patients uterine-associated lesions such as uterine fibromatosis and endometrial hyperplasia.

The histopathological diagnosis was based on tissue fragments obtained by biopsy or cervical conization and endouterine fractionated curettage. The treatment of cervical intraepithelial neoplasia was established according to the conditions, indications and contraindications, hpv cervical cancer procedure consisted in conization or hysterectomy.

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