Does the loop electrosurgical excision procedure adversely affect the histopathological interpretation of cervical conization specimens?

Abstract:

OBJECTIVE:To assess the suitability of conized specimens obtained by loop electrosurgical excision procedure for histopathological interpretation. METHODS:We evaluated the histological pictures of 215 tissue sections obtained by loop electrosurgical excision procedure. These sections came from 32 cases of patients with various degrees of cervical intraepithelial neoplasia. All women included in our study had a satisfactory colposcopy and no cytological or colposcopic evidence of invasive cancer. We quantified the thickness of thermal damage in the tissue sections using a stage-mounted, calibrated grid microscope. RESULTS:At its greatest extent, thermal damage occurring next to incision lines ranged from 160 to 520 mu (mean 262, SE 14 mu). Two different zones of thermal damage were produced by LEEP: the carbonization and coagulation zones. The carbonization zone was located at the outermost layer and was very thin, measuring from 10 to 30 mu in depth. The coagulation zone was adjacent to the carbonization zone, was eosinophilic, and was significantly deeper than the carbonization zone at its points of greatest thickness (150 to 500 mu; p < 0.0001, Student's t-test). The depth of the coagulation zone correlated significantly with the depth of the carbonization zone (p = 0.041, least linear correlation). Tissue distortion was present in 53% (17/32) of the cases, and appeared only in the coagulation zone. CONCLUSION:Tissue structure from the diseased portions of the conized specimens was generally well preserved. The area of thermal damage was limited and thus did not result in diagnostic problems. We conclude that LEEP is a reliable method for obtaining tissue samples for histopathological examination.

authors

Chen RJ,Lee EF,Shih JC

doi

10.3109/00016349409029412

subject

Has Abstract

pub_date

1994-10-01 00:00:00

pages

726-9

issue

9

eissn

0001-6349

issn

1600-0412

journal_volume

73

pub_type

杂志文章
  • FDG-PET in cervical cancer: staging, re-staging and follow-up.

    abstract:BACKGROUND:Correctly visualising the extent of the disease in cervical cancer is difficult with today's conventional imaging modalities. This paper presents the interim analysis of an on-going prospective study to evaluate the potential role of FDG-PET with software fusion with CT images in 3 different clinical setting...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1080/00016340701625388

    authors: Bjurberg M,Kjellén E,Ohlsson T,Ridderheim M,Brun E

    更新日期:2007-01-01 00:00:00

  • Cesarean section and maternal education; secular trends in Norway, 1967-2004.

    abstract:BACKGROUND:Worldwide rising cesarean section rates over the past decades have caused much concern. Studies on the association between cesarean section and maternal social background have reported conflicting results. METHODS:A cohort study, comprising 837,312 birth order one deliveries notified to the population-based...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1080/00016340701417422

    authors: Tollånes MC,Thompson JM,Daltveit AK,Irgens LM

    更新日期:2007-01-01 00:00:00

  • Adverse obstetric outcome in fetuses that are smaller than expected at second trimester routine ultrasound examination.

    abstract:BACKGROUND:Adverse obstetric outcome in fetuses that are smaller than expected at second trimester routine ultrasound examination. AIM:To assess the obstetric outcome when the interval between the estimated date of delivery by last menstrual period and the estimated date of delivery by second trimester ultrasound exce...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1034/j.1600-0412.2002.810908.x

    authors: Nakling J,Backe B

    更新日期:2002-09-01 00:00:00

  • Evaluation of preoperative criteria used to predict lymph node metastasis in endometrial cancer.

    abstract:OBJECTIVE:To evaluate whether we could accurately predict lymph node (LN) metastasis with preoperative tests in endometrial cancer. Design. Retrospective study. SETTING:Seoul National University Hospital, South Korea. Population. Three hundred patients with endometrial cancer who underwent surgical staging including l...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016340903370114

    authors: Han SS,Lee SH,Kim DH,Kim JW,Park NH,Kang SB,Song YS

    更新日期:2010-01-01 00:00:00

  • Preterm birth and cerebral palsy. Predictive value of pregnancy complications, mode of delivery, and Apgar scores.

    abstract:BACKGROUND:Preterm infants are at 8 times higher risk than term infants for pre- and perinatal brain damage, resulting in cerebral palsy. In this paper we have analysed the influence of prenatal and birth-related risk factors on cerebral palsy in preterm infants. METHODS:In a register-based study, 175 preterm singleto...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.3109/00016349709024363

    authors: Topp M,Langhoff-Roos J,Uldall P

    更新日期:1997-10-01 00:00:00

  • Pelvic arterial embolization in severe obstetric hemorrhage.

    abstract::Massive postpartum hemorrhage (PPH) is a major life-threatening complication. When conventional management fails, pelvic arterial embolization (PAE) can be used. The aim of our study was to find out the success rate of PAE in cases of acute PPH, and to study the safety of this procedure in a retrospective case series ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aogs.12376

    authors: Grönvall M,Tikkanen M,Metsätähti M,Loukovaara M,Paavonen J,Stefanovic V

    更新日期:2014-07-01 00:00:00

  • Comparison of ultrasonography, hysteroscopy, and biopsy in the diagnosis of endometrial lesions in postmenopausal tamoxifen-treated patients.

    abstract:BACKGROUND:At present, no proven recommendations can be made for the surveillance of tamoxifen-treated women. The aim of the present study was to evaluate ultrasonography and hysteroscopy in this setting. METHODS:Three hundred and ten postmenopausal patients using tamoxifen underwent vaginal ultrasonography, hysterosc...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1034/j.1600-0412.2002.811013.x

    authors: Giorda G,Crivellari D,Veronesi A,Perin T,Campagnutta E,Carbone A,Scarabelli C

    更新日期:2002-10-01 00:00:00

  • Population-based Swedish studies of outcomes after in vitro fertilisation.

    abstract:BACKGROUND:Various outcomes have been described during pregnancy and among infants born to women after in vitro fertilisation (IVF) treatments. This mini-review summarises recent population-based Swedish studies about the short- and long-term effects of IVF on the infant and child, and also comments on disturbances of ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1080/00016340701446231

    authors: Nygren KG,Finnström O,Källén B,Olausson PO

    更新日期:2007-01-01 00:00:00

  • Pregnancy outcomes after liver transplantation in Finland.

    abstract:INTRODUCTION:Pregnancy after liver transplantation is possible but associated with increased risk of obstetrical complications. We report here for the first time the pregnancy outcomes after liver transplantation in Finland. MATERIAL AND METHODS:All of the 25 pregnancies ending in deliveries after liver transplantatio...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aogs.13175

    authors: Mattila M,Kemppainen H,Isoniemi H,Polo-Kantola P

    更新日期:2017-09-01 00:00:00

  • Hilus cells from human postmenopausal ovaries: gonadotrophin sensitivity, steroid and cyclic AMP production.

    abstract::Strips of ovarian hilar tissue taken from 11 post-menopausal women were examined histologically and found to contain clusters of hilus cells in contiguity with non-myelinated nerve fibers. No other steroidogenically active structures were found. Specimens from these strips were incubated for 30 and 240 minutes in Kreb...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016348209156582

    authors: Dennefors BL,Janson PO,Hamberger L,Knutsson F

    更新日期:1982-01-01 00:00:00

  • Attitudes toward surrogacy among doctors working in reproductive medicine and obstetric care in Sweden.

    abstract:INTRODUCTION:The aim of this study was to investigate attitudes and opinions towards surrogacy among physicians working within obstetrics and reproductive medicine in Sweden. MATERIAL AND METHODS:Physicians working within medically assisted reproduction (MAR), antenatal care and obstetrics were invited to participate ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.1111/aogs.13342

    authors: Stenfelt C,Armuand G,Wånggren K,Skoog Svanberg A,Sydsjö G

    更新日期:2018-09-01 00:00:00

  • Endometrial ablation with a vaporizing electrode. II. Clinical outcome of a pilot study.

    abstract:BACKGROUND:As a vaporizing electrode has been successfully used to treat submucous myomas, we evaluated its safety and efficacy in performing endometrial ablation. METHODS:Forty consecutive women with established menorrhagia with (n=26) and without (n=14) submucous myomas were enrolled in a prospective, noncomparative...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 临床试验,杂志文章

    doi:10.1034/j.1600-0412.1998.770619.x

    authors: Vercellini P,Oldani S,De Giorgi O,Milesi M,Merlo D,Crosignani PG

    更新日期:1998-07-01 00:00:00

  • Hysteroscopy is superior to hysterosalpingography in infertility investigation.

    abstract:BACKGROUND:The development of advanced endoscopic instrumentation in recent years has demonstrated the superiority of direct visual examination over radiographic demonstration of various body cavities. Just as laparoscopy has gradually taken a primary role in the surgical investigation of the ovulatory infertile patien...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016349609054692

    authors: Golan A,Eilat E,Ron-El R,Herman A,Soffer Y,Bukovsky I

    更新日期:1996-08-01 00:00:00

  • Vaginal application of a chemotherapeutic agent before legal abortion. A way of reducing infectious complication?

    abstract::In an attempt to reduce the incidence of infectious complications after first trimester legal abortion 199 healthy, early pregnant women were treated with chloroquinaldol (SterosanR vaginal jelly) during six days before their vacuum aspiration. A group of 291 women served as control. In the treatment group 18 women (9...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016348109158123

    authors: Meirik O,Nilsson S,Nygren KG

    更新日期:1981-01-01 00:00:00

  • Influence of operations for stress incontinence and/or genital descensus on sexual life.

    abstract::A variety of operations for stress incontinence or genital descensus are performed in gynecological department. The purpose of this study was to find out whether these operations influenced the patients' sexual life. In a prospective study of 55 women, all sexually active prior to the operation, various characteristic...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016348809004283

    authors: Haase P,Skibsted L

    更新日期:1988-01-01 00:00:00

  • Serum CA 125 levels in patients with a provisional diagnosis of pelvic inflammatory disease. Clinical and theoretical implications.

    abstract::In 50 patients with a provisional diagnosis of pelvic inflammatory disease (PID), CA 125 concentrations in serum were measured before laparoscopy and during hospitalization, using an enzyme immunoassay. The findings at laparoscopy were graded on the basis of the extent of inflammatory peritoneal involvement (grades 0-...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016348909013284

    authors: Duk JM,Kauer FM,Fleuren GJ,de Bruijn HW

    更新日期:1989-01-01 00:00:00

  • Potential avoidability of planned cesarean sections in a French national database.

    abstract:OBJECTIVE:To study the frequency and determinants of potentially avoidable planned cesarean sections, with a classification based on their indications, maternal obstetric history, and information about the current pregnancy. DESIGN:Cross-sectional population-based study. SETTING:All maternity units in France (n = 535...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aogs.12439

    authors: Coulm B,Blondel B,Alexander S,Boulvain M,Le Ray C

    更新日期:2014-09-01 00:00:00

  • Stillbirths and rate of neonatal deaths in 76,761 postterm pregnancies in Sweden, 1982-1991: a register study.

    abstract:OBJECTIVE:To study stillbirths and neonatal mortality in the postterm period. DESIGN:Register study of information obtained from the Swedish Medical Birth Registry (MBR), National Board of Health and Welfare, Stockholm. METHODS:Singleton pregnancies with deliveries occurring between 1982 and 1991 were selected involv...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章,评审

    doi:10.3109/00016349709024606

    authors: Ingemarsson I,Källén K

    更新日期:1997-08-01 00:00:00

  • Projected cost-effectiveness of repeat high-risk human papillomavirus testing using self-collected vaginal samples in the Swedish cervical cancer screening program.

    abstract:BACKGROUND:Human papillomavirus (HPV) testing is not currently used in primary cervical cancer screening in Sweden, and corresponding cost-effectiveness is unclear. OBJECTIVE:From a societal perspective, to evaluate the cost-effectiveness of high-risk (HR)-HPV testing using self-collected vaginal samples. DESIGN:A co...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aogs.12143

    authors: Östensson E,Hellström AC,Hellman K,Gustavsson I,Gyllensten U,Wilander E,Zethraeus N,Andersson S

    更新日期:2013-07-01 00:00:00

  • Inter- and intra-observer agreement of non-reassuring cardiotocography analysis and subsequent clinical management.

    abstract:OBJECTIVE:To quantify inter- and intra-observer agreement of non-reassuring intrapartum cardiotocography (CTG) patterns and subsequent clinical management. DESIGN:Methodological study. SETTING:University Medical Center. POPULATION:CTG patterns of 79 women beyond 37 weeks of gestation with a singleton fetus in vertex...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aogs.12371

    authors: Rhöse S,Heinis AM,Vandenbussche F,van Drongelen J,van Dillen J

    更新日期:2014-06-01 00:00:00

  • Side and site of deep vein thrombosis in women using oral contraceptives.

    abstract::The anatomy of the thrombus in acute deep vein thrombosis (DVT) in women using oral contraceptives was studied in 277 reports on DVT received by the Swedish Adverse Drug Reaction Advisory Committee (SADRAC). The study revealed a similarity between the anatomy of DVT in women on oral contraceptives and that of DVT in p...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016348509155155

    authors: Kierkegaard A

    更新日期:1985-01-01 00:00:00

  • Urodynamic assessment and lateral urethrocystography. A comparison of two diagnostic procedures for female urinary incontinence.

    abstract::We compared urodynamic findings and results of lateral urethrocystography in 84 case. The aim of the study was to establish a possible correlation between anatomic findings and functional results. Clinically, a significantly greater increase in the normal axis of urethral inclination was noted in patients with a urody...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016349109006214

    authors: Grischke EM,Anton H,Stolz W,von Fournier D,Bastert G

    更新日期:1991-01-01 00:00:00

  • Salivary uric acid as a predictive test of preeclampsia, pregnancy-induced hypertension and preterm delivery: A pilot study.

    abstract:INTRODUCTION:There remains a need for a non-invasive, low-cost and easily accessible way of identifying women at risk of developing hypertensive disorders in pregnancy. This study evaluated the predictive value of longitudinal salivary uric acid measurement. MATERIAL AND METHODS:Pregnant women (n = 137) from 20 weeks ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aogs.13888

    authors: Püschl IC,Bonde L,Reading IC,Maguire P,Macklon NS,Van Rijn BB

    更新日期:2020-10-01 00:00:00

  • New FIGO and Swedish intrapartum cardiotocography classification systems incorporated in the fetal ECG ST analysis (STAN) interpretation algorithm: agreements and discrepancies in cardiotocography classification and evaluation of significant ST events.

    abstract:INTRODUCTION:The updated intrapartum cardiotocography (CTG) classification system by FIGO in 2015 (FIGO2015) and the FIGO2015-approached classification by the Swedish Society of Obstetricians and Gynecologist in 2017 (SSOG2017) are not harmonized with the fetal ECG ST analysis (STAN) algorithm from 2007 (STAN2007). The...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aogs.13277

    authors: Olofsson P,Norén H,Carlsson A

    更新日期:2018-02-01 00:00:00

  • Fertility preservation in women with borderline ovarian tumors - how does it impact disease outcome? A cohort study.

    abstract:INTRODUCTION:Borderline ovarian tumors are typically indolent neoplasms. Since many are diagnosed in younger women, fertility conservation is an important consideration and has been advocated based on retrospective data. The objective of this study was to identify features impacting on recurrence and survival in a seri...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/aogs.13203

    authors: Helpman L,Yaniv A,Beiner ME,Aviel-Ronen S,Perri T,Ben-Baruch G,Hogen Ben-David L,Jakobson-Setton A,Korach J

    更新日期:2017-11-01 00:00:00

  • Treatment of abscesses in the vulva. Conventional open treatment versus primary suture under antibiotic cover.

    abstract::Seventy patients were treated for a subcutaneous abscess in the vulva. In 35 consecutive patients the abscess was treated conventionally with deroofing of the abscess and wet dressings. In the other 35 consecutive patients the abscess was treated by incision, curettage and primary suture under antibiotic cover with a ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016348609157385

    authors: Larsen T,Larsen PN,Christophersen S,Moesgaard F,Nielsen ML

    更新日期:1986-01-01 00:00:00

  • Alterations of calcium and phosphate metabolism in primary hyperparathyroidism during pregnancy.

    abstract::Primary hyperparathyroidism (PHP) is rare during pregnancy and has been claimed to be associated with significant increase of neonatal morbidity and mortality. Whether the well recognized changes in calcium (Ca) and phosphate (Pi) homeostasis occurring in pregnancy might influence the biochemical expression of PHP is ...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016349309021140

    authors: Ammann P,Irion O,Gast J,Bonjour JP,Beguin F,Rizzoli R

    更新日期:1993-08-01 00:00:00

  • The effect of physical training on bone mineral density in women with endometriosis treated with GnRH analogs: a pilot study.

    abstract:BACKGROUND:The effect of physical training on bone mineral density (BMD) in women with endometriosis treated with gonadotropin-releasing hormone (GnRH) analogs was studied. METHODS:Nineteen Caucasian premenopausal women aged 23-38 years were included in the study. The subjects were all treated with 21.6 mg goserelin d...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.0001-6349.2005.00558.x

    authors: Bergström I,Freyschuss B,Jacobsson H,Landgren BM

    更新日期:2005-04-01 00:00:00

  • Reproductive patterns and pregnancy outcomes in women with congenital heart disease--a Swedish population-based study.

    abstract:OBJECTIVE:To study women diagnosed with congenital heart disease (CHD) with respect to characteristics related to their own births, their subsequent likelihood of giving birth and the obstetric and neonatal outcomes of their pregnancies. DESIGN:Population-based register study. POPULATION:All women born in 1973-1983 w...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.1111/j.1600-0412.2011.01100.x

    authors: Josefsson A,Kernell K,Nielsen NE,Bladh M,Sydsjö G

    更新日期:2011-06-01 00:00:00

  • Ability of intrauterine bacterial lipopolysaccharide to cause in situ uterine contractions in pregnant rabbits.

    abstract:BACKGROUND:To investigate the ability of bacterial lipopolysaccharide delivered by the intra-uterine route to cause uterine contractions in rabbits, and to assess the suppressive effect of urinary trypsin inhibitor on them. METHODS:Both pregnant and non-pregnant rabbits were chronically implanted with a force-transduc...

    journal_title:Acta obstetricia et gynecologica Scandinavica

    pub_type: 杂志文章

    doi:10.3109/00016349709047780

    authors: Katsuki Y,Kaga N,Kakinuma C,Takagaki K,Kajikawa S,Shibutani Y

    更新日期:1997-01-01 00:00:00