Treatment patterns for cervical carcinoma in situ in Michigan, 1998-2003.

摘要: OBJECTIVE To characterize population-level surgical treatment patterns for cervical carcinoma in situ (CIS) reported to the Michigan Cancer Surveillance Program (MCSP), and inform data collection strategies. METHODS All cases of (including intraepithelial neoplasia grade 3 adenocarcinoma [AIS]) MCSP during 1998-2003 were identified. First course (ablative procedure, cone biopsy, loop electrosurgical excisional procedure [LEEP], hysterectomy, unspecified treatment, no unknown if surgically treated) was described by histology, race, age at diagnosis. RESULTS Of 17,022 CIS, 82.8 percent squamous AIS/adenosquamous 14.2 unspecified/other CIS. Over half (54.7 percent) diagnosed women under 30. Excisional treatments (LEEP, 32.3 17.3 most common, though substantial proportions had (17.8 or (21.1 percent). Less common hysterectomy (7.2 ablative procedures (2.6 LEEP cases, while CIS cases. Across histologic types, a sizeable proportion ≤30 years underwent excision, either (20 percent-38.7 biopsy (13.7 percent-44 CONCLUSION Despite evidence suggesting it may be safer equally effective as ablation rarely used treating These population-based indicate some notable differences histology diagnosis, with observed appearing consistent consensus guidelines place time study, but favoring more aggressive procedures. Future strategies need validate information, including large treatment.