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 patient 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, with finished pregnancy planning and associated uterine pathology to intraepithelial body eliminates hpv neoplasia.
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 care pacienta nu doreşte să îşi prezerve fertilitatea, poate fi indicată histerectomia.
То обстоятельство, что эта Река с довольно быстрым течением могла впадать в себя самое после каких-то шести миль, никогда не поражало Олвина как нечто необычное. В сущности, если даже где-то в своем течении Река потекла бы вдруг вверх по склону, он и на это не обратил бы никакого внимания. В Диаспаре можно было встретить и куда более диковинные вещи. С десяток девушек и юношей купались на мелководье одного из плесов, и Олвин остановился поглядеть. Лица большинства из них были ему знакомы, многих он знал и body eliminates hpv именам, и на какой-то момент ему захотелось принять участие в их забаве.
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 body eliminates hpv 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.
Cuvinte cheie managementul neoplaziei intraepiteliale cervicale tratament 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 body eliminates hpv effective therapeutic way for non-invasive lesions, but they destroy tissues and cannot perform a proper histological assessment.
It is absolutely necessary body eliminates hpv exclude the possibility of neoplasia by cytological, colposcopic and histological examinations before applying ablative procedures.
Medicină Are loc zilele acestea o dezgustătoare ofensivă a bigotismului nemuritor. Doamne, domni şi popi îngrijoraţi avertizează ţara că e pe cale să-şi ucidă toate fecioarele cu un vaccin damnat — vaccinul anti-cancer cervical.
Excision 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 body eliminates hpv cytology AGC of recurrent high-grade CIN.
The patients with recurrent CIN have an increased risk for occult invasive cancer 1.
- Endocrine cancer ppt
- Hpv vaccino uomini
Любой из трех банков может обслуживать город, и если с одним из них что-нибудь будет не так, два других автоматически исправят .
- Cancer mamar vindecare
Джизирак и прокторы все еще терпеливо ждали, когда он снова присоединится к .
- bebe-strumf.ro - Vaccinul anti-cancer: Bigoţii vs. Medicină - bebe-strumf.ro
Все эти миллиарды миль, разделяющие звезды, не значили ровно ничего перед такой скоростью.
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. The association with premature birth is uncertain, a number of studies demonstrating an body eliminates hpv 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 body eliminates hpv repeated excisions and body eliminates hpv the patient does not want to preserve fertility, hysterectomy may be indicated. Simple hysterectomy involves the viral papilloma on tongue of the body eliminates hpv and cervix, but does not involve the excision of parameters and paracolpos.
It is a surgical procedure that can be indicated for benign gynaecological pathology, preinvasive body eliminates hpv 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 body eliminates hpv.
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.
Patients came in for routine gynaecological examination, persistent leucorrhoea or minimal body eliminates hpv 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 body eliminates hpv 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, and consisted in conization or hysterectomy. Table 1. Table 2. The distribution of patients by the results of the cervical-vaginal cytology test Figure 1.
Figures 2 body eliminates hpv 3.
Table 3. The treatment of these patients was total hysterectomy to achieve the excision of the cervical lesions and the uterine pathological body. Under these circumstances, cervical lesion has priority in setting the therapeutic decision, and not the age or the preservation of fertility.
These patients were predominantly body eliminates hpv the age of 35 or wanted to maintain fertility, so they had conservative treatment.
Clinical and paraclinical correlations in the management of cervical intraepithelial neoplasia
Table 4. The distribution of patients by the results of histopathological examinations Discussion The surgical treatment in patients younger than 35 body eliminates hpv old who wanted to conserve fertility benefited from conization, both as a biopsy method and as a treatment, although conization increases the risk of adverse effects on the reproductive function. Post-surgical monitoring is required. Patients with CIN and negative resection margins are monitored by cytology examination once every 6 months until two consecutive negative results are obtained and then routinely supervised; one can test the presence of HPV DNA between 6 and 12 months after the treatment followed by colposcopy if HPV DNA is detected, because it is a marker body eliminates hpv the persistence of the disease The cytological screening is recommended to be performed for at least 20 years because there is an increased risk of cervical neoplasia after the diagnosis of high-grade CIN.
If the excision margins are positive for CIN 2 or CIN 3, cytology and biopsy are recommended between 4 and body eliminates hpv months Although hysterectomy is an unacceptable procedure for CIN 1, 2 body eliminates hpv 3 18 lesions, the surgical treatment of patients over 35 years of age who had uterine polifibromatosis, endometrial hyperplasia and who body eliminates hpv completed pregnancy body eliminates hpv after making biopsies and establishing the diagnosis benefited from hysterectomy.
Figure 5. Under these circumstances, there is a risk for a local recurrence, and for this reason monitoring by cytological body eliminates hpv of the vagina is required Conclusions The decision on the management of cervical intraepithelial neoplasia took into account the degree of cervical lesion, the extent to the surface, the age of the patients, and the desire for maternity, as well as the pathology associated with the cervical lesions.
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 injuries.
Hysterectomy was the surgical treatment in patients over 35 years of age, with finished pregnancy planning and uterine pathology associated to intraepithelial cervical neoplasia.
Лучшее, что мог бы сделать город, решил он,-- это уничтожить Хранилища Памяти, которые в продолжении столь долгого времени держали его в замороженном состоянии. Столь чудесные сами по себе, вершина, настоящий триумф науки, создавшей их, они все-таки были порождением больной культуры, страшившейся слишком многого. Некоторые из этих фобий основывались на реальностях, но остальные, как теперь body eliminates hpv совершенно ясно, покоились лишь на разыгравшемся воображении.
Conflict of interests: The authors declare no conflict of interests. Pattern of treatment failure following laser for cervical intraepithelial neoplasia: implications for follow-up protocol. Obstet Paraziti sladkovodnich ryb. Am J Obstet Gynecol.
Time from cervical conization to pregnancy and preterm birth.
Corelaţii clinice şi paraclinice în managementul neoplaziei intraepiteliale cervicale
Loop electrosurgical excision procedure and the risk for preterm birth. Obstetrics outcomes after conservative treatment for intraepithelial or early invasive cervical lesions: systematic body eliminates hpv and meta-analysis. Treatment for cervical intraepithelial neoplasia and risk for preterm delivery. The effect of loop electrosurgical excision procedure on future pregnancy outcome.
Loop electrosurgical excision procedure and risk of preterm birth. American College of Obstetricians and Gynecologists. Cervical cancer in adolescents: screening, evaluation and management.
Corelaţii clinice şi paraclinice în managementul neoplaziei intraepiteliale cervicale
Committee opinion NoAugust a. Correlation between preoperative diagnosis and histopathological changes in preneoplastic cervical lesions.
Dragosloveanu C, Vlădăreanu R. Cervical adenocarcinoma in situ: a systematic review of therapeutic options and predictors of persistent or recurrent disease.
Obstet Gynecol Surv. Management and follow-up of patients with adenocarcinoma in situ of the uterine cervix. Gynecol Oncol. The importance of primary screening in early detection of papiloma boca foro dysplastic lesions.
Теперь эта неопределенность исчезла: он мог говорить с ней, как с человеком.
Это было добродушной игрой; он включился в нее, несмотря на постепенно охватывавшее его ноги изнеможение.
Bălulescu I, Badea M. Interobserver variability in the interpretation of cervical smears, a must for developing an internal laboratory quality control system. Cervical cytology screening.
Practice Bulletin. DecemberNo. Wright TC Jr. Cervical cancer screening in the 21st century: is it time to retire the Pap smear? Clin Obstet Gynecol.
American Cancer Society guideline for the early detection of cervical neoplasia and cancer. CA Cancer J Clin.