Overview of thermal ablation and LLETZ in cervical premalignant lesions: a narrative review

Cervical cancer is one of the commonest cancers in developing countries. For the treatment of cervical precancerous lesions, either ablative or excision methods are used. These procedures can be performed for VIA or HPV-positive women without colposcopic or histological verification (“screen and t...

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Bibliographic Details
Main Authors: Sumedha Gupta, Shalu, Dheer Singh Kalwaniya, Saritha Shamsunder
Format: Article
Language:English
Published: Barpeta Obstetrics and Gynaecological Society 2024-12-01
Series:New Indian Journal of OBGYN
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Online Access:https://journal.barpetaogs.co.in/pdf/1114.pdf
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Summary:Cervical cancer is one of the commonest cancers in developing countries. For the treatment of cervical precancerous lesions, either ablative or excision methods are used. These procedures can be performed for VIA or HPV-positive women without colposcopic or histological verification (“screen and treat”) in situations where these diagnostic services are not available. Also, the decision to treat a CIN lesion may be based on colposcopic findings (“see and treat”) without waiting for histological verification. The ablative method is relatively easy to perform and less time consuming with minimal post procedure complications, whereas the excision method provides the tissue for histopathological diagnosis with certain post-operative complications, including pregnancy related complications like preterm birth and premature rupture of membranes. Both of these procedures have certain indications and limitations. In this review article, we explain both ablation and excision procedures in detail.
ISSN:2454-2334
2454-2342