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. 2020 Jun 24;12(6):1683. doi: 10.3390/cancers12061683

Table 4.

Recurrence of HSIL lesions during the 24-month follow-up after LLETZ: according to the resection margin status of the first LLETZ and separately for all women regardless for histopathology and according to whether reoperation for affected margins was performed.

Margins Affected Margin Status 6 Months
n/N (%) *
12 Months
n/N (%)
18 Months
n/N (%)
24 Months
n/N (%)
All Cumulative
n/N (%)
Any Margin
No re-LLETZ, only HSIL (n = 419) Free (n = 339) 2/339 (0.6) 2/51 (3.9) 0/28 (0.0) 0/236 (0.0) 4/339 (1.2)
Affected (n = 80) 3/80 (3.8) 3/19 (15.8) 0/15 (0.0) 0/47 (0.0) 6/80 (7.5)
All LLETZ (n = 491) Free (n = 368) 2/368 (0.5) 2/56 (3.6) 0/36 (0.0) 0/249 (0.0) 4/368 (1.1)
Affected (n = 123) 3/123 (2.4) 3/26 (11.5) 0/23 (0.0) 0/74 (0.0) 6/123 (4.9)
No re-LLETZ Affected (n = 85) 2/85 (2.4) 3/20 (15) 0/16 (0.0) 0/469(0.0) 5/85 (5.8)
Re-LLETZ Affected (n = 38) 1/38 (2.6) 0/6 (0.0) 0/7 (0.0) 0/25 (0.0) 1/38 (2.6)
Ectocervical margins (66/123)
All LLETZ Affected 2/66 (3.0) 3/12 (25) 0/15 (0.0) 0/40 (0.0) 5/66 (7.6)
No re-LLETZ Affected 2/53 (1.9) 3/10 (30) 0/11 (0.0) 0/29 (0.0) 4/52 (7.7)
Re-LLETZ Affected 0/13 (0.0) 0/2 (0.0) 0/4 (0.0) 0/11 (0.0) 1/14 (7.1.)
Endocervical margins (37/123)
All LLETZ Affected 0/37 (0.0) 0/9 (0.0) 0/5 (0.0) 0/24 (0.0) 0/37 (0.0)
No re-LLETZ Affected 0/20 (0.0) 0/7 (0.0) 0/3 (0.0) 0/14(0.0) 0/20 (0.0)
Re-LLETZ Affected 0/17 (0.0) 0/3 (0.0) 0/2 (0.0) 0/10 (0.0) 0/17 (0.0)
Both Margins (20/123)
All LLETZ Affected 1/20 (5) 0/3 (0.0) 0/3 (0.0) 0/10 (0.0) 1/20(5.0)
No re-LLETZ Affected 1/12 (9.1) 0/2 (0.0) 0/2 (0.0) 0/6 (0.0) 1/11 (9.1)
Re-LLETZ Affected 0/8 (0.0) 0/1 (0.0) 0/1 (0.0) 0/4 (0.0) 0/9 (0.0)

* n = cases of histological HSIL (high-grade cervical intraepithelial lesion), N = cases assessed, LLETZ large loop excision of the transformation zone.