Recurrence of Dysplasia after Loop Electrosurgical Excision Procedure.

Kim, Yong Sik; Kim, Seok Mo; Choi, Ho Sun

Original Article

Korean Journal of Obstetrics & Gynecology 2003;46(5):902-906.
Published online May 1, 2003.

Recurrence of Dysplasia after Loop Electrosurgical Excision Procedure.

Yong Sik Kim, Seok Mo Kim, Ho Sun Choi

Department of Obstetrics and Gynecology, Chonnam National University Medical School, Kwangju, Korea.

Abstract

OBJECTIVE
To evaluate the risk factors for high grade dysplasia after Loop electrosurgical excision procedure (LEEP). METHODS: LEEP using local anesthesia was performed on an outpatient basis in 1656 patients referred for colposcopy for an abnormal Papanicolaou smear of cervigram during a period of 7 years. We performed a cytologic smear immediately after loop excision. LEEP cone slides were reviewed to assess involvement of margins, multiple quadrants. RESULTS: One hundred seven patients (8.1%) had recurrent dysplasia and mean interval of recurrence after loop excision were 13.2 months. Greater recurrence rates were noted involving margins (36.4% of recurrent group vs. 6.7% of control group), multiple quadrants (3.1% of recurrent group vs. 1.8% of control group), and endocervix immediately after loop excision (19.5% of recurrent group vs. 1% of control group). CONCLUSION: Careful follow-up should be applied in the cases of multiple quadrants involvement, margin positivity, positive Pap result right after LEEP.

Key Words: LEEP, Recurrence, Risk factors