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  • Title: See-and-treat approach to cervical intraepithelial lesions in HRH Princess Maha Chakri Sirindhorn Medical Center.
    Author: Srisuwan S, Hamontri S, Kongsomboon K, Bhamarapravatana K, Suwannarurk K.
    Journal: Asian Pac J Cancer Prev; 2014; 15(8):3483-6. PubMed ID: 24870744.
    Abstract:
    BACKGROUND: To evaluate the overtreatment rate with the see and treat approach in the management of women with abnormal cervical cytology. MATERIALS AND METHODS: A retrospective review of patients with abnormal cervical cytology who underwent S and T at MSMC between January 2008 and December 2012 was conducted. Loop electrosurgical excision procedure (LEEP), histological results, cytology and colposcopic impression were analyzed to evaluate overtreatment rate, cyto-histologic correlation and related factors. RESULTS: Average age of S and T cases was 42 years. Ninety seven percents were referred from affiliated health care providers. The study revealed 83.2% patients had HSIL or higher from cervical cytology. Correlation between HSIL and final histology was relatively low at 75% compared to other studies. Overtreatment rate was 28%. CONCLUSIONS: S and T was done in 197 patients in a tertiary care health facility with patient satisfaction. Overtreatment occurred, but the rate can be reduced with appropriate recommendations. HSIL Pap smears should be reexamined before S and T while low grade and lesser colposcopic impression groups should obtain conventional colposcopic approach for patient future reproductive benefit.
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