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Pol. Merkur. Lek (Pol. Med. J.), 2019, XLVII/278: 060-064 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2019, XLVII/278: 060-064

Title: CO2 laser ablation of cervical endometrioid lesions – treatment efficacy evaluation 

Authors: Pliszkiewicz M, Brzuchalski MA, Pliszkiewicz M, Siekierski BP. 

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN POLISH.

CO2 laser ablation of cervical endometrioid lesions – treatment efficacy evaluation


Pliszkiewicz M1, Brzuchalski MA2, Pliszkiewicz M3, Siekierski BP1.

1Medicover Hospital, Department of Obstetric and Gynecology, Warsaw, Poland; 2Individual Medical Practice Marek Adam Brzuchalski, Świnoujście, Poland; 3Individual Medical Practice Monika Pliszkiewicz, Warszawa, Poland

Endometriosis affects 10-15% of the female population of childbearing potential. Endometrioid lesions of the cervical surface are a rare manifestation of the disease. There are various complaints related to this particular form of endometriosis, making the diagnosis challenging. Treatment also raises problems, as widely available and used therapeutic methods often prove to be ineffective.
The aim of the study
was to evaluate the efficacy of CO2 laser beam ablation in a group of patients with cervical endometriosis lesions.
Materials and methods
. This paper presents a summary of cervical endometriosis treatment efficacy in a group of 15 patients who have undergone CO2 laser ablation between May 2016 and April 2019. The majority of patients have already been treated for cervical endometriosis, using cryotherapy, electrocoagulation, curettage and loop electrosurgical excision procedure (LEEP). All patients, following preliminary colposcopy verification and exclusion of malignancies, have undergone CO2 laser ablation of endometrioid cervical lesions. A visual evaluation of the cervix was performed before treatment, directly after the procedure, as well as 4-6 weeks after the procedure, and subsequently every 6-8 months.
Results
. CO2 laser ablation treatment yielded a complete resolution of endometrioid lesions in all patients, with two cases requiring a second procedure. As of writing, none of the patients suffered recurrences in symptoms or clinical evidence of new lesions at physical examination.
Conclusions
. Cervical endometriosis is a rare manifestation of the diseases, with variable symptoms. It can become a diagnostic challenge, as endometrioid lesions may be confused with cervical malignancies, as well as a therapeutic one, as many of the methods employed prove unsuccessful. Laser ablation of endometrioid cervical lesions seen to be a minimally invasive, safe and effective treatment method that can be offered in an outpatient setting.

Key words: endometriosis, cervical endometriosis, CO2 laser

Pol Med J, 2019; XLVII (278); 60–64