Resultados de la conización cervical con asa | Clínica e Investigación en Ginecología y Obstetricia

Información del artículo

Resumen

Objetivos

Evaluar los resultados de la técnica de conización con asa en nuestro servicio, las complicaciones y el seguimiento de esas pacientes.

Material y métodos

Se han estudiado 77 pacientes que requieren conización con asa por lesión escamosa intraepitelial de alto grado (SILAG), SIL BG persistente, discordancia citologíabiopsia, sospecha de carcinoma microinvasor o de adenocarcinoma endocervical. Evaluamos las complicaciones y el seguimiento citológico a los 6 meses

Resultados

El 74% de las pacientes presentaba SIL en la pieza de conización, en el 20,7% no se observólesión, en el 2,6% se localizó carcinoma microinvasor y en el 1,35% carcinoma invasor y endocervical

Conclusión

La concordancia es mayor cuando se trata de lesiones de alto grado. Las complicacionesson escasas, destacando un 7,6% de hemorragia. El seguimiento citológico muestra, a los 6 meses, una persistencia de lesión del 11,4%

Summary

Objectives

To evaluate the results of the technique of conization with a loop in our service, the complications and follow-up of these patients.

Material and methods

A study of 77 patients who required loop conization for high grade intraepithelial squamous lesions (HG SIL), and persistent LG SIL, cytology-biopsy discordance, suspicions of microin-vasive carcinoma or endocervical adenocarcinoma. We evaluate complications and follow-up at 6 months.

Results

A 77% of the patients had SIL in the coni-zation specimen, in 20,7% no lesion was seen, in 2,6% there was a microinvasive carcinoma, and in 1,35% invasive and endocervical carcinoma.

Conclusion

Concordance is greater when the lesions are high grade. Complications are scarce, only a 7,6% rate of haemorrhage being found. Cytological follow-up at 6 months showing a lesion persistence of 11,4%.

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