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.