Colposcopic directed biopsy CIN II LLETZ performed Cervix - - PowerPoint PPT Presentation

▶
colposcopic directed biopsy cin ii
SMART_READER_LITE
LIVE PREVIEW

Colposcopic directed biopsy CIN II LLETZ performed Cervix - - PowerPoint PPT Presentation

Apr 02, 2023 102 likes •176 views

Gynecologic Cancer InterGroup Cervix Cancer Research Network Early Cervical Cancer: Hennie Botha 30year old, nulligravida Screening cytology HSIL Colposcopic directed biopsy CIN II LLETZ performed Cervix Cancer Education

slide-1
SLIDE 1

Gynecologic Cancer InterGroup Cervix Cancer Research Network Early Cervical Cancer: Hennie Botha

  • 30year old, nulligravida
  • Screening cytology HSIL
  • Colposcopic directed biopsy CIN II
  • LLETZ performed

Cervix Cancer Education Symposium, January 2019, South Africa

slide-2
SLIDE 2
slide-3
SLIDE 3

Gynecologic Cancer InterGroup Cervix Cancer Research Network Options: a)Radical hysterectomy with PLND b)Cold Knife Cone c)SNL d)LLETZ (with “top-hat”?) e)Careful follow-up with cytology f)PLND (laparoscopic?) followed by conisation

Cervix Cancer Education Symposium, January 2019, South Africa

slide-4
SLIDE 4

Gynecologic Cancer InterGroup Cervix Cancer Research Network

Cervix Cancer Education Symposium, January 2019, South Africa

slide-5
SLIDE 5

Bhatla 2018

slide-6
SLIDE 6

Gynecologic Cancer InterGroup Cervix Cancer Research Network

New FIGO: What is different?

  • Stage IA1

< 3.0 mm deep

  • Stage IA2

3.0 - 5.0 mm deep

  • Stage IB1

> 5.0 mm < 2 cm

  • Stage IB2

2 cm - 4 cm

  • Stage IB3

> 4 cm

  • Stage IIIC for positive lymph nodes: notation of r (imaging) and p (pathology)

– Stage IIIC1 Pelvic lymph node metastasis only – Stage IIIC2 Para-aortic lymph node metastasis Example: – Stage IIIC1r (Pelvic node mets on Imaging) – Stage IIIC1p (Pelvic node mets on Pathology)

Cervix Cancer Education Symposium, January 2019, South Africa