MANAGEMENT OF INCOMPLETE RESECTED CERVICA L NEOPLASIA AFTER LLETZ-CONIZATION

Patients and Methods: One hundred and ninety-three women with cervical intraepithelial neoplasia (CIN) or suspected microinvasive cancer und erwent large loop excision of the transformation zone (LLETZ)-conizati on. 158 lesions (81.9%) were completely resected and 35 lesions (18.1% ) incompletely resected. The study population comprised 147 patients w ith follow-up data available. This group included all patients (n = 35 ) in whom the lesion was incompletely resected by conization. Results: Mean age of the patients was 33.6 years (range: 19-64 years) and mean follow-up period was 11.4 months (range: 6-32 months). Of the 35 pati ents in whom the lesions were incompletely resected, 18 (51.4%) underw ent repeat surgery. The specimen obtained at the second operation reve aled a residual lesion in 10 patients (55%) (0/1 CIN I, 5/11 CIN III, 516 invasive carcinoma), Seventeen (48.6%) of the 35 patients in wham the CIN was not completely removed (CIN I = 1, CIN II = 8, CIN III = 8 ) underwent follow-up by cytology and colposcopic examination. None of these patients experienced a recurrence within a mean follow-up perio d of 13.6 months. Conclusion: In women with incomplete resection of CI N a conservative follow-up management seems to be justified.