Management of Cervical Dysplasia Using Office Loop Electrosurgical Excision Procedure

Sarah Inés Ramírez; Andrew Lutzkanin

doi:10.1016/j.pop.2021.07.008

Management of Cervical Dysplasia Using Office Loop Electrosurgical Excision Procedure

Prim Care. 2021 Dec;48(4):583-595. doi: 10.1016/j.pop.2021.07.008. Epub 2021 Oct 8.

Authors

Sarah Inés Ramírez¹, Andrew Lutzkanin²

Affiliations

¹ Department of Family and Community Medicine, Penn State Health Hershey Medical Center, 500 University Drive, Mail Code HP11, Hershey, PA, USA. Electronic address: sramirez2@pennstatehealth.psu.edu.
² Department of Family and Community Medicine, Penn State Health Hershey Medical Center, 500 University Drive, Mail Code HP11, Hershey, PA, USA.

PMID: 34752271
DOI: 10.1016/j.pop.2021.07.008

Abstract

Declining cervical cancer rates in the United States highlights the value of prevention and early detection of premalignant cervical disease afforded by the human papillomavirus vaccine and Pap smear. The availability of in-office loop electrosurgical excision procedure affords clinicians with a cost-effective and preferred tool for the excision of high-grade lesions of the cervix with minimal risk for severe adverse outcomes. The most recent American Society for Colposcopy and Cervical Pathology guidelines recommend a risk-based approach for the detection, treatment, and surveillance of cervical disease and specifically focus on the risk of developing cervical intraepithelial neoplasia 3 or worse histology.

Keywords: Cervical cancer; Cervical dysplasia; Cervical intraepithelial neoplasia (CIN); Loop electrosurgical excision procedure (LEEP).

Publication types

Review

MeSH terms

Colposcopy
Electrosurgery
Female
Humans
Pregnancy
Uterine Cervical Dysplasia* / diagnosis
Uterine Cervical Dysplasia* / surgery
Uterine Cervical Neoplasms* / diagnosis
Uterine Cervical Neoplasms* / surgery
Vaginal Smears