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KMID : 0374019940170040355
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Ewha Medical Journal
1994 Volume.17 No. 4 p.355 ~ p.362
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Large Loop Excision of the Transformation Zone(LLETZ) as an Alternative Treatment for Cervical Intraepithelial Neoplasia(CIN)
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김승철
이경순/김영주/정혜원/안정자
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Abstract
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The technique of large loop excision of the transformation zone (LLETZ) as an alternative to destructive/ablative methods of treatment of CIN(cervical intraepithelial neoplasia) such as cryotherapy, laser vaporization and cone biopsy was
assessed.
In 63
women the suspected CIN attending the colposcopy clinic, the histologic diagnoses made from excision biopsies taken by LLETZ were compaired with those from colposcopiclly directed punch biopsies. This procedure was well-tolerated, and minor
bleeding
occurred in a few patients. Three unsuspected microinvasive tumors were found by LLETZ and the diagnosis made by LLETAZ was worse than that made by punch biopsy in 17 cases926.9%). That is to say, LLETZ improves the accuracy of diagnosis of CIN.
And it
offers a cheap and accurate alternative to laser vaporization or cone biopsy, and also combines the benifits of the gold standard cone biopsy with that of local ablative metholds. LLETZ is considered as a fairly new and good method of treatment
of
CIN,
and the long-term complications or effects should be yet fully evaluated in future.
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KEYWORD
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