Management of Cervical Dysplasia Using Office Loop Electrosurgical Excision Procedure

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).