Treatment of CIN after menopause

Objectives: To characterise cervical neoplasia after the menopause. Materia l and methods: We studied our computerized files of CIN from 1993-1999. Of the 738 cases, 78 were after menopause (11%). Results: We made a report of the specificities of cytological and colposcopical diagnosis and the treatm ent given. Cytological results are the same after and before menopause. On the other hand, colposcopical patterns are significantly different because of a particular topography of the lesion. The majority of CIN after menopau se are localized in the canal and are 44% versus 12. Incomplete conization is no more frequent after menopause than before. Howe ver, stenosis is higher: 73% unseen junction against 15%. Therefore, at this age, a total hysterectomy could possibly be preferable. Tn this study, we will outline the positive and the negative aspects of thi s form of treatment. (C) 2001 Elsevier Science Ireland Ltd. All rights rese rved.