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Recurrence in High-grade Lesions After Conization

Completed
Conditions
Cervical Intraepithelial Neoplasia
Registration Number
NCT02540421
Lead Sponsor
Faculdade de Medicina do ABC
Brief Summary

Objectives: To identify factors associated with disease recurrence in patients with high-grade cervical intra-epithelial neoplasia (CIN) undergoing large loop excision of the transformation zone (LLETZ).

Study Design: A case-control study that included 103 patients. Patients were included in the study if they had a history of surgery for conization by LLETZ for the histopathological diagnosis of cervical intraepithelial neoplasia grades II and III (CIN II and CIN III). Follow-up exams were conducted every six months with Pap smear collection and colposcopic examination with biopsy, when necessary, for a minimum period of twelve months. Cure was defined as a normal follow-up examination within 24 months. During follow-up, relapse occurred when cytology and/or biopsy results showed that CIN had returned after 12 months, at which time a new cervical conization by LLETZ was performed.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
103
Inclusion Criteria
  1. history of surgery for conization
Exclusion Criteria
  1. under 18 years of age,
  2. immunosuppressed,
  3. Patient with a histopathological diagnosis of low-grade intraepithelial neoplasia
  4. Patient with invasion, or surgical margins obtained by LLETZ that were unable to be evaluated.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Recurrence rates after conization12 months

Number of patients who are regarded as recurrence based on the following criteria:

- relapse occurred when cytology and/or biopsy showed that CIN had returned after 12 months

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Emerson de Oliveira

🇧🇷

Santo Andre, SP, Brazil

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