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Corelaţii clinice şi paraclinice în managementul neoplaziei intraepiteliale cervicale This is achieved by the excision or ablation of the squamous-cylindrical area up to the healthy tissue.

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In the case of persistence of high-grade lesions after repeated excision and if the patient does not want to preserve fertility, hysterectomy may hpv removal procedure indicated. Hpv removal of cervix is a surgical procedure that can be indicated for benign gynaecological pathology, preinvasive cervical neoplasia and stage IA1 of cervical detoxifiere picioare in apa.

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Conization was hpv removal procedure surgical choice in patients with cervical hpv removal procedure neoplasia, under 35 years of age, who wanted to conserve fertility and did not have other gynaecological lesions.

Hysterectomy was the surgical treatment in patients over 35 years of age, with finished pregnancy planning and associated uterine pathology to intraepithelial hpv removal procedure neoplasia. Keywords management of cervical intraepithelial neoplasia, conservative treatment, radical tratament de detoxifiere a colonului Rezumat Tratamentul neoplaziei intraepiteliale cervicale vizează eli­mi­­na­rea zonei de joncţiune, inclusiv a ţesuturilor anor­ma­­le.

În cazul per­sis­ten­ţei leziunilor de grad înalt după excizie repetată şi în cazul în care pacienta nu doreşte să îşi prezerve fertilitatea, poate fi indicată histerectomia.

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Aceasta este o procedură chirurgicală care poa­te fi indicată pentru patologia ginecologică benignă, neo­pla­zia cervicală preinvazivă şi pentru stadiul IA1 al cancerulului de col uterin.

Obiectivul studiului a fost selectarea pacientelor în funcţie de managementul neoplaziei intraepiteliale cer­vi­­ca­­­le, hpv removal procedure în considerare gradul leziunii cervicale, zona de extensie, vârsta pacientelor şi dorinţa de menţinere a fer­ti­­li­tă­ţii, precum şi patologia asociată cu leziunile cervicale.

Co­ni­za­ţia a fost procedura chirurgicală selectată la pacientele cu neoplazie intraepitelială cervicală, sub 35 de ani, care au dorit să-şi prezerve fertilitatea şi nu au avut alte leziuni gi­ne­­co­logice. The Cervix Histerectomia hpv removal procedure fost tratamentul chirurgical la pa­­cien­­te­le cu vârsta de peste 35 de ani, fără dorinţă de pro­creare şi patologie uterină asociată cu neoplazia cervicală intra­epi­te­lială.

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Cuvinte cheie managementul neoplaziei intraepiteliale cervicale tratament conservativ tratament radical Introduction The treatment of cervical intraepithelial neoplasia aims at removing the junction area, including abnormal tissues. Ablation procedures — electrofulguration, cryosurgery, carbon dioxide laser — are an effective therapeutic way for non-invasive lesions, but they destroy tissues and cannot perform a proper histological assessment.

It is absolutely necessary to exclude the possibility of neoplasia by cytological, colposcopic and histological examinations before applying ablative procedures. It is indicated for patients with hpv removal procedure invasive cancer lesions and endocervical adenocarcinoma, high-grade lesion in cytology, unsatisfactory colposcopy and cervical intraepithelial neoplasia CIN diagnosed at the fragmentary biopsy, requiring hpv removal of cervix, and for patients with recurrent atypical glandular cell cytology AGC of recurrent high-grade CIN.

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The patients with recurrent CIN have an increased risk for occult invasive cancer 1. The excision procedures — with electric loop LEEP, conization — increase the risk of complications, affecting the reproductive capacity: cervical canal stenosis, cervico-ischemic incompetence, premature hpv removal procedure, premature rupture of membranes 2.

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The patients with an interval of less than months between conization and pregnancy are at risk of premature birth 3. The association with premature birth is uncertain, a number of studies demonstrating an hpv removal of cervix in risk, while other studies did not support this hypothesis On this basis, the treatment is preferred for the eradication of high-grade injuries.

In the case of persistence of high-grade lesions after repeated excisions and if the patient hpv removal procedure not want to preserve fertility, hysterectomy may be indicated. Hpv removal procedure hysterectomy involves the removal of the uterus and cervix, but does not involve the excision of parameters and paracolpos.

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It is a surgical procedure that can be indicated for benign gynaecological pathology, preinvasive cervical neoplasia and stage IA1 of cervical cancer. Human papillomavirus 52 positive squamous cell carcinoma of the conjunctiva Adenocarcinoma in situ is diagnosed at younger ages The therapeutic objective is to excise all affected tissues after eliminating the diagnosis of invasiveness.

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It is indicated the cold scalpel conization to keep the edges and to facilitate the histological interpretation. Hysterectomy is indicated after the maternity is ended 12, Method The study was conducted on a total of 44 patients, between January and May The patients were aged between 21 and 50 years old, and they were divided into hpv removal procedure groups: years old and years old.

Patients came in for routine gynaecological examination, persistent leucorrhoea or minimal vaginal bleeding after local washing or sexual intercourse.

Clinical and paraclinical correlations in the management of cervical hpv removal procedure neoplasia The objective gynaecological examination revealed the shape and consistency of the cervix, the presence or absence of macroscopically visible exocervical lesions. Investigations such as cervico-vaginal cytology, HPV hpv removal procedure and genotyping, colposcopy and fragmentary biopsy or conization were performed to determine the extent of cervical lesions.

Detailed anamnesis, gynaecological clinical examination, biopsy curettage and ultrasound hpv removal of cervix in 17 patients uterine-associated lesions such as uterine fibromatosis and endometrial hyperplasia.

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The histopathological diagnosis was based on tissue fragments obtained by biopsy or cervical conization and endouterine fractionated curettage. The treatment of cervical intraepithelial neoplasia was established according to the conditions, indications and contraindications, and consisted in conization or hysterectomy.

Table 1. Table 2.

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The distribution of patients by the results of the cervical-vaginal cytology hpv removal procedure Figure 1. Figures 2 and 3. Corelaţii clinice şi paraclinice în managementul neoplaziei intraepiteliale cervicale Table hpv removal of cervix.

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The treatment of hpv removal procedure patients was total hysterectomy to achieve the excision of the cervical lesions and the uterine pathological body. Under these circumstances, cervical lesion has priority in setting the therapeutic decision, and not the age or the preservation of fertility. These patients were predominantly under the age of 35 or wanted to maintain fertility, so they had conservative treatment.

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Table 4. The distribution of patients by the results of histopathological examinations Discussion The surgical treatment in patients younger than 35 years old who wanted to conserve fertility benefited from conization, both as a biopsy method and as a treatment, although conization increases the risk of adverse effects on the reproductive function.

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Post-surgical monitoring is required. Patients with CIN and negative resection margins are hpv removal procedure by cytology examination once every 6 months hpv removal of cervix two consecutive hpv removal procedure results are obtained and then routinely supervised; one can test the presence of HPV DNA between 6 and 12 months after the treatment followed by colposcopy if HPV DNA is detected, because it is a marker of the persistence of the disease The cytological screening is recommended to be performed for at least 20 years because there is an increased risk of cervical neoplasia after the diagnosis of high-grade CIN.

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If the excision margins are positive for CIN 2 or CIN hpv removal procedure, cytology and biopsy are recommended between 4 and 6 months Although hysterectomy is an unacceptable procedure for CIN 1, 2 and 3 18 lesions, the surgical treatment of patients over 35 years of age who had uterine polifibromatosis, endometrial hyperplasia and who had completed pregnancy planning after making biopsies and establishing the diagnosis hpv removal of cervix from hysterectomy.

Figure 5.

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Under these circumstances, there is a risk for a local recurrence, and for this reason monitoring by cytological screening of the vagina is required Conclusions The decision on the management of cervical intraepithelial neoplasia took into account the degree of cervical lesion, the extent to hpv removal hpv removal of cervix cervix surface, the age of the patients, and the desire for maternity, as well as hpv removal of cervix pathology associated with the cervical lesions.