Management of Cervical Intra Epithelial Neoplasia by Loop Electrosurgical Excision Procedure in a Low Resource Country: An Experience from the Yaoundé General Hospital, Cameroon ()
Affiliation(s)
1Obstetrics and Gynecology Unit, Yaoundé General Hospital, Yaoundé, Cameroon.
2Department of Obstetrics and Gynecology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.
3Department of Pathology, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.
ABSTRACT
Background: Cervical cancer is the
third most common cancer worldwide, and 80% of cases occur in the developing
world. A critical component of effective cervical cancer screening programs is
the ability to offer women appropriate and effective treatment for cervical intra epithelial neoplasia (CIN). Objectives: This study aimed at assessing the primary experience of management of
CIN by Loop Electrosurgical Excision Procedure (LEEP) in a low resource
country. Methods: We carried out a descriptive cross sectional study at the
Yaoundé General Hospital in Cameroon. Results: Twenty three cases of CIN were
treated by LEEP. Mean age of patients was 40.5 ± 9.9 years. Six (26.1%)
patients were infected by the Human Immunodeficiency Virus (HIV). LEEP was
indicated in 21 (91.30%) cases for CIN2 and CIN3. The mean duration of the
surgical procedure was 10 ± 3 minutes. There was one (4.3%) complication
(persistent cervical bleeding). Surgical margins were negative for dysplasia or
invasive carcinoma in 18 (78.26%) cases and non-applicable in 5 (21.73%) cases
(thermal artefacts of margins and cervicitis without CIN). One patient with
micro invasive carcinoma on post-operative histology was treated by total
hysterectomy. Cervical cytology was normal at 6 months post LEEP for 15 cases
out of 16 (93.8%) patients who performed the test. One woman achieved pregnancy
and delivered a term baby. Conclusion: Treatment of CIN by LEEP is feasible,
safe and effective in our setting.
Share and Cite:
Ngowa, J. , Ngassam, A. , Tsuala, J. , Metogo, J. , Sando, Z. , Kabeyene, A. and Kasia, J. (2015) Management of Cervical Intra Epithelial Neoplasia by Loop Electrosurgical Excision Procedure in a Low Resource Country: An Experience from the Yaoundé General Hospital, Cameroon.
Open Journal of Obstetrics and Gynecology,
5, 481-486. doi:
10.4236/ojog.2015.59070.