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Zdravljenje prekanceroz materničnega vratu : analiza podatkov zdravljenih bolnic na Ginekoloski kliniki v Ljubljani v obdobju 1996-2000 = Cervical intraepithelial neoplasia treatment : analysis of the data of the patients treated at Department of gynecology and obstetrics in Ljubljana during 1996-2000Lomšek Vidmar, Mili ; Rakar, Stelio ; Kobal, BorutBackground. Successful diagnosis and management of cervical intraepithelial neoplasia (CIN) prevent the occurrence of invasive cervical cancer, which is one of the important indicators of the ... national health care. Methods. The retrospective analysis studies patients at Department of Obstetrics and Gynecology, University Medical Centre Ljubljana, who had in the period from January 1990 to December 2000 cervical biopsy due to CIN suspicion, based on abnormal PAP smear test and/or abnormal colposcopy. The patients, whose CIN diagnosis was confirmed with cervical biopsy sample histology, were treated bylocal methods (laser vaporisation, laser conization, large loop excision of the transformation zone (LLETZ), cold-knife conization), hysterectomy or just supervised with 4-6 month PAP smear and colposcopy follow-up. Our efficiency criteria were PAP smear one year after the treatment and excised tissue histology (for local excision methods and hysterectomy). We also compared the histology of the cervical biopsy sample and the excised tissue after excision methods of treatment and hysterectomy. The sources of our database were the patients' records. Results. The study analyses 800 patients. In 195 women (24%) CIN wasn't confirmed by cervical biopsy sample histology. In the remaining 605 patients (76%), we diagnosed evere dysplasia (CIN III) in 332 women (55%), moderate dysplasia (CIN II) in 153 women (25%) and light dysplasia (CIN I) in 120 women (20%). CIN was most frequently diagnosed in theage between 30 and 34. CIN III was most frequently treated with cold-knife conization and CIN II with laser vaporisation. We also treated 120 patients (66%) with CIN I, mostly with laser vaporisation. There were no substantive differences in therapeutic efficacy between the methods of treatment. (Abstract truncated at 2000 characters).Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 72, supl. 2, sep. 2003, str. II-147-II-150)Vrsta gradiva - prispevek na konferenciLeto - 2003Jezik - slovenskiCOBISS.SI-ID - 16667609
Avtor
Lomšek Vidmar, Mili |
Rakar, Stelio |
Kobal, Borut
Teme
Cervical Intraepithelial Neoplasia |
Surgery |
Vaginal Smears |
Conization |
Hysterectomy |
Laser Coagulation |
Maternica, vrat, intraepitelijska neoplazija |
Histerektomija |
Konizacija |
Laserska koagulacija |
Vaginalni razmazi |
ginekologija |
maternični vrat |
prekanzeroze |
zdravljenje |
metode
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vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 72, supl. 2, sep. 2003, str. II-147-II-150)
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Lomšek Vidmar, Mili | ![]() |
Rakar, Stelio | 02355 |
Kobal, Borut | 06970 |
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