TY - JOUR
T1 - Follow up in women with biopsy diagnosis of cervical low-grade squamous intraepithelial lesion (LSIL)
T2 - how long should it be?
AU - Ciavattini, Andrea
AU - Clemente, Nicolò
AU - Tsiroglou, Dimitrios
AU - Sopracordevole, Francesco
AU - Serri, Matteo
AU - Delli Carpini, Giovanni
AU - Papiccio, Maria
AU - Cattani, Paolo
PY - 2017/4/1
Y1 - 2017/4/1
N2 - Aim: To analyse the regression rate and the risk of persistence or progression of the lesions in women with a histopathological diagnosis of cervical low-grade squamous intraepithelial lesion (LSIL). Materials and methods: Retrospective cohort study of women with biopsy diagnosis of cervical LSIL, from January 2010 to December 2013. After the initial diagnosis of LSIL, all the women underwent scheduled follow-up examinations with cytology every 6 months for 2 years and an HPV test after 1 year. Results: At the 24 -month follow-up, the regression of cervical LSIL was observed in 88.5% of the women. 10.8% of the women had a persistent lesion, while a progression towards cervical HSIL was reported in 0.7% of the women. The risk of persistence or progression of histological LSIL was higher in women with ASC-H or HSIL on the referral cytology and in tobacco users. Conclusion: In women with biopsy diagnosis of cervical LSIL, preceded by ASCUS or LSIL on cytology, a high rate of regression was observed and, in most of the cases, the regression occurred in the first year of follow-up. In women with cervical LSIL, preceded by ASC-H or HSIL on cytology, and in tobacco users, a higher risk of persistence and progression was observed. Thus, in these cases, repeated follow-up examinations, even with the HR-HPV test, are advisable.
AB - Aim: To analyse the regression rate and the risk of persistence or progression of the lesions in women with a histopathological diagnosis of cervical low-grade squamous intraepithelial lesion (LSIL). Materials and methods: Retrospective cohort study of women with biopsy diagnosis of cervical LSIL, from January 2010 to December 2013. After the initial diagnosis of LSIL, all the women underwent scheduled follow-up examinations with cytology every 6 months for 2 years and an HPV test after 1 year. Results: At the 24 -month follow-up, the regression of cervical LSIL was observed in 88.5% of the women. 10.8% of the women had a persistent lesion, while a progression towards cervical HSIL was reported in 0.7% of the women. The risk of persistence or progression of histological LSIL was higher in women with ASC-H or HSIL on the referral cytology and in tobacco users. Conclusion: In women with biopsy diagnosis of cervical LSIL, preceded by ASCUS or LSIL on cytology, a high rate of regression was observed and, in most of the cases, the regression occurred in the first year of follow-up. In women with cervical LSIL, preceded by ASC-H or HSIL on cytology, and in tobacco users, a higher risk of persistence and progression was observed. Thus, in these cases, repeated follow-up examinations, even with the HR-HPV test, are advisable.
KW - Cervical intraepithelial neoplasia
KW - CIN1
KW - Follow-up
KW - LSIL
KW - Persistence
KW - Regression
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U2 - 10.1007/s00404-017-4335-7
DO - 10.1007/s00404-017-4335-7
M3 - Article
C2 - 28255767
AN - SCOPUS:85014128814
VL - 295
SP - 997
EP - 1003
JO - Archives of Gynecology
JF - Archives of Gynecology
SN - 0170-9925
IS - 4
ER -