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- W4221007236 abstract "Abstract Objective:SEE and TREAT at Colposcopy has been described in cytology based screening when a high grade lesion in association with a high grade abnormality in the Pap smear is treated by Large Loop Excision of the Transformation Zone (LLETZ) to minimize loss to follow up in the multiple step management protocol for CIN. With a vast burden of cervical cancer in developing countries, our aim was to study the efficacy of this approach in patients coming to colposcopy clinic after a positive VIA screening test.Methods:Women in the age group of 25-50years and coming to the general gynecology clinic had opportunistic screening with VIA; those who were VIA + underwent Colposcopy. If colposcopy suggested a high grade lesion, SEE and TREAT using LLETZ was performed.Treatment was described as effective if there was CIN of any grade in the LLETZ cone; overtreatment if there was no CIN.Results:Colposcopy was carried out for 688 women who were VIA positive; of them 101 had a high grade lesion and underwent LLETZ. All of them had CIN on histopathology. Thirty-five (34.6%) had CIN 1, 55 (54.5%) had CIN 2 and 11 (10.9%) has CIN 3. The SEE and TREAT approach was effective in all with no overtreatment. Complete excision was achieved in 96.04% of the women while 3.96% had positive ectocervical margin. There were no major complications.Conclusion:Thus we conclude that a SEE AND TREAT approach in a low-resource setting with VIA followed by Colposcopy and treatment can help in reducing the number of visits and loss to follow up." @default.
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- W4221007236 date "2022-03-08" @default.
- W4221007236 modified "2023-10-16" @default.
- W4221007236 title "Efficacy of SEE and TREAT in a Cervical Screening Program With Visual Inspection With Acetic Acid (VIA)" @default.
- W4221007236 doi "https://doi.org/10.21203/rs.3.rs-1398700/v1" @default.
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