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Case Report

Healing pattern of the cervical stroma following cold coagulation treatment for cervical intraepithelial neoplasia: A case report

  • Authors:
    • Dimitrios Papoutsis
    • Joanna Williams
    • Martyn Underwood
    • William Parry‑Smith
  • View Affiliations / Copyright

    Affiliations: Department of Obstetrics and Gynaecology, Shrewsbury and Telford Hospitals NHS Trust, Telford TF16TF, UK, Department of Histopathology, Shrewsbury and Telford Hospitals NHS Trust, Telford TF16TF, UK
  • Article Number: 81
    |
    Published online on: January 14, 2022
       https://doi.org/10.3892/ol.2022.13201
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Abstract

Cold coagulation of the cervix for cervical intraepithelial neoplasia (CIN), when compared with cervical excision, has previously demonstrated comparable cure rates and a reduction in the rate of spontaneous preterm birth. In the present report the healing pattern in the cervices of two women after cold coagulation is described. Both women underwent cold coagulation due to CIN3, which was found on pre‑treatment cervical punch biopsies. They were followed up after cold coagulation and at 7 and 18 months, respectively, they underwent cervical excision. The histopathological slides from the excised specimen were reviewed, which represents the healed cervix after cold coagulation. A clear boundary of collagenisation was noted in the superficial stroma, which appeared to stop at the junction with the healthy muscular stroma. The collagenised superficial stroma depth, which represents the area that was thermally ablated and has now healed, measured 1.6 and 1.5 mm for the two women, respectively, which is less compared with that typically removed by cervical excision. Observations from these two cases indicate that cold coagulation does not appear to disrupt the deep tissue architecture of the cervix and could therefore explain the reduced levels of adverse obstetric morbidity in patients who underwent cold coagulation ablative treatment of the cervix, which has been previously reported.
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Copy and paste a formatted citation
Spandidos Publications style
Papoutsis D, Williams J, Underwood M and Parry‑Smith W: Healing pattern of the cervical stroma following cold coagulation treatment for cervical intraepithelial neoplasia: A case report. Oncol Lett 23: 81, 2022.
APA
Papoutsis, D., Williams, J., Underwood, M., & Parry‑Smith, W. (2022). Healing pattern of the cervical stroma following cold coagulation treatment for cervical intraepithelial neoplasia: A case report. Oncology Letters, 23, 81. https://doi.org/10.3892/ol.2022.13201
MLA
Papoutsis, D., Williams, J., Underwood, M., Parry‑Smith, W."Healing pattern of the cervical stroma following cold coagulation treatment for cervical intraepithelial neoplasia: A case report". Oncology Letters 23.3 (2022): 81.
Chicago
Papoutsis, D., Williams, J., Underwood, M., Parry‑Smith, W."Healing pattern of the cervical stroma following cold coagulation treatment for cervical intraepithelial neoplasia: A case report". Oncology Letters 23, no. 3 (2022): 81. https://doi.org/10.3892/ol.2022.13201
Copy and paste a formatted citation
x
Spandidos Publications style
Papoutsis D, Williams J, Underwood M and Parry‑Smith W: Healing pattern of the cervical stroma following cold coagulation treatment for cervical intraepithelial neoplasia: A case report. Oncol Lett 23: 81, 2022.
APA
Papoutsis, D., Williams, J., Underwood, M., & Parry‑Smith, W. (2022). Healing pattern of the cervical stroma following cold coagulation treatment for cervical intraepithelial neoplasia: A case report. Oncology Letters, 23, 81. https://doi.org/10.3892/ol.2022.13201
MLA
Papoutsis, D., Williams, J., Underwood, M., Parry‑Smith, W."Healing pattern of the cervical stroma following cold coagulation treatment for cervical intraepithelial neoplasia: A case report". Oncology Letters 23.3 (2022): 81.
Chicago
Papoutsis, D., Williams, J., Underwood, M., Parry‑Smith, W."Healing pattern of the cervical stroma following cold coagulation treatment for cervical intraepithelial neoplasia: A case report". Oncology Letters 23, no. 3 (2022): 81. https://doi.org/10.3892/ol.2022.13201
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