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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1991-12-26
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pubmed:abstractText |
We report results of follow-up by PAP smears and colposcopy in 116 women treated since 1981 by conization for cervical intraepithelial neoplasia with human papillomavirus infection (HPV-CIN). The mean follow-up time was 31.9 (SD 19) months. Preoperative diagnosis was HPV-CIN II (with extension into the endocervix) in 11 cases and HPV-CIN III in 103 cases; two diagnostic conizations were performed. The histological examination of the cone biopsies showed complete excision of CIN in 109 cases (94%). Three patients underwent hysterectomy after conization; one had microinvasion in the cone biopsy, one had suspicion of microinvasion and one had non-radical conization. Three patients (2.6%) were lost to follow-up. After excluding these six patients the primary cure rate of HPV lesions (normal cytological and colposcopical finding after conization) was 82.7%. Four patients (4.6%) had residual CIN after conization. During the follow-up 15 patients had recurrence of HPV infection, only one had HPV-CIN I. HPV 16 was the most common HPV type (56/116, 48.2%) in the conization group and also in the recurrent cases (9/15, 60%). The results support the role of HPV 16 in cervical carcinogenesis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:issn |
0932-0067
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
249
|
pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
59-65
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:1719944-Adult,
pubmed-meshheading:1719944-Cervix Uteri,
pubmed-meshheading:1719944-Cryosurgery,
pubmed-meshheading:1719944-DNA Probes, HPV,
pubmed-meshheading:1719944-Female,
pubmed-meshheading:1719944-Follow-Up Studies,
pubmed-meshheading:1719944-Humans,
pubmed-meshheading:1719944-Interferons,
pubmed-meshheading:1719944-Laser Therapy,
pubmed-meshheading:1719944-Neoplasm Staging,
pubmed-meshheading:1719944-Papillomaviridae,
pubmed-meshheading:1719944-Prospective Studies,
pubmed-meshheading:1719944-Tumor Virus Infections,
pubmed-meshheading:1719944-Uterine Cervical Neoplasms,
pubmed-meshheading:1719944-Vaginal Smears
|
pubmed:year |
1991
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pubmed:articleTitle |
Conization for CIN associated with human papillomavirus infection.
|
pubmed:affiliation |
Department of Obstetrics and Gynecology/3302, Kuopio University Central Hospital, Finland.
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pubmed:publicationType |
Journal Article,
Comparative Study
|