Clinical and paraclinical correlations in the management of cervical intraepithelial neoplasia

B. Pucă, A.D. Brăila, C.V. Obleaga, M. Brăila, C. Lungulescu

Rezumat: The treatment of cervical intraepithelial neoplasia aims at removing the junction area, including abnormal tissues. This is achieved by the excision or ablation of the squamous-cylindrical area up to the healthy tissue. In the case of persistence of high-grade lesions after repeated excision and if the patient does not want to preserve fertility, hysterectomy may be indicated. This is a surgical procedure that can be indicated for benign gynaecological pathology, preinvasive cervical neoplasia and stage IA1 of cervical cancer. The objective of the study was to select patients regarding the management of cervical intraepithelial neoplasia, taking into account the grade of cervical lesion, the extension area, patients’ age and maternal desire, as well as the pathology associated with cervical lesions. Conization was the surgical choice in patients with cervical intraepithelial 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 cervical neoplasia.
Cuvinte cheie: management of cervical intraepithelial neoplasia, conservative treatment, radical treatment.