DIATHERMY LOOP OUTPATIENT EXCISION OF LOW -GRADE INTRAEPITHELIAL NEOPLASIA

Twenty five years after the introduction of outpatient treatment for c ervical precancers, several cases of invasive cancer after laser, cryo therapy or electrocautery have been described. As a consequence, the d iathermy loop excision has recently been proposed for the treatment of cervical intraepithelial neoplasia. The new generators seem to assure a high quality of cut and allow the histological analysis of all the lesional tissue excised as deep as the laser vaporisation usually goes (7 mm). We have tested this treatment on a series of CIN I on an outp atient basis and our results confirm that loop excision can replace de structive treatments for CIN I. As for high grade lesions, we still th ink that laser conisation under general anesthesia remains the best ch oice.