Publication Abstract

Authors: Kinney W, Hunt WC, Dinkelspiel H, Robertson M, Cuzick J, Wheeler CM, New Mexico HPV Pap Registry Steering Committee

Title: Cervical excisional treatment of young women: a population-based study.

Journal: Gynecol Oncol 132(3):628-35

Date: 2014 Mar

Abstract: OBJECTIVE: Assessment of cytology and biopsy results preceding cervical excisional treatment and their association with excisional histology, to evaluate compliance with treatment recommendations and the potential effect of revisions in cervical histology terminology and usage. METHOD: Data from a unique statewide population-based screening registry was used to describe the use and histologic outcomes of cervical excisional procedures in the year following an abnormal cervical screening cytology. RESULTS: From 2007 to 2011, LEEP rates decreased 87%, 45%, and 16% for women aged 15-20, 21-24, and 25-29 years, respectively. Reductions were attributable to an overall decline in cervical screening and colposcopy, and a decrease in LEEP following a diagnosis of less than cervical intraepithelial neoplasia grade 2 (0.7) for women aged 30-39 years. Irrespective of age, CIN2 was the most common histologic antecedent of excisional treatment (42%), with most (80%) preceded by