CIN III Diagnosed following Surgical Termination of Pregnancy

We present a case of a 30-year-old mother of four who was incidentally diagnosed with cervical intraepithelial neoplasia (CIN) III following surgical termination of pregnancy. Five years previously a routine smear test had shown mild dyskaryosis but was never repeated. She was referred to colposcopy...

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Main Authors: Ciara Mackenzie, Abiodun Fakokunde, Abha Govind, Delaram Kermani
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2014/389151
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author Ciara Mackenzie
Abiodun Fakokunde
Abha Govind
Delaram Kermani
author_facet Ciara Mackenzie
Abiodun Fakokunde
Abha Govind
Delaram Kermani
author_sort Ciara Mackenzie
collection DOAJ
description We present a case of a 30-year-old mother of four who was incidentally diagnosed with cervical intraepithelial neoplasia (CIN) III following surgical termination of pregnancy. Five years previously a routine smear test had shown mild dyskaryosis but was never repeated. She was referred to colposcopy and, underwent loop excision of the transformation zone (LLETZ) and subsequently vaginal hysterectomy. Without this incidental finding she would have undoubtedly developed cervical cancer. We discuss the deficiencies in current cervical cancer prevention strategies and termination of pregnancy services. We emphasise the importance of ensuring that patients with dyskaryosis are not lost to follow-up and we consider whether there should be clearer guidance on the value of histological examination of products of conception following termination of pregnancy.
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institution Kabale University
issn 2090-6684
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publishDate 2014-01-01
publisher Wiley
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-2d1d53f08ec140089b3566341989cace2025-02-03T06:42:19ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/389151389151CIN III Diagnosed following Surgical Termination of PregnancyCiara Mackenzie0Abiodun Fakokunde1Abha Govind2Delaram Kermani3Department of Obstetrics & Gynaecology, North Middlesex University Hospital, Sterling Way, London N18 1QX, UKDepartment of Obstetrics & Gynaecology, North Middlesex University Hospital, Sterling Way, London N18 1QX, UKDepartment of Obstetrics & Gynaecology, North Middlesex University Hospital, Sterling Way, London N18 1QX, UKDepartment of Obstetrics & Gynaecology, North Middlesex University Hospital, Sterling Way, London N18 1QX, UKWe present a case of a 30-year-old mother of four who was incidentally diagnosed with cervical intraepithelial neoplasia (CIN) III following surgical termination of pregnancy. Five years previously a routine smear test had shown mild dyskaryosis but was never repeated. She was referred to colposcopy and, underwent loop excision of the transformation zone (LLETZ) and subsequently vaginal hysterectomy. Without this incidental finding she would have undoubtedly developed cervical cancer. We discuss the deficiencies in current cervical cancer prevention strategies and termination of pregnancy services. We emphasise the importance of ensuring that patients with dyskaryosis are not lost to follow-up and we consider whether there should be clearer guidance on the value of histological examination of products of conception following termination of pregnancy.http://dx.doi.org/10.1155/2014/389151
spellingShingle Ciara Mackenzie
Abiodun Fakokunde
Abha Govind
Delaram Kermani
CIN III Diagnosed following Surgical Termination of Pregnancy
Case Reports in Obstetrics and Gynecology
title CIN III Diagnosed following Surgical Termination of Pregnancy
title_full CIN III Diagnosed following Surgical Termination of Pregnancy
title_fullStr CIN III Diagnosed following Surgical Termination of Pregnancy
title_full_unstemmed CIN III Diagnosed following Surgical Termination of Pregnancy
title_short CIN III Diagnosed following Surgical Termination of Pregnancy
title_sort cin iii diagnosed following surgical termination of pregnancy
url http://dx.doi.org/10.1155/2014/389151
work_keys_str_mv AT ciaramackenzie ciniiidiagnosedfollowingsurgicalterminationofpregnancy
AT abiodunfakokunde ciniiidiagnosedfollowingsurgicalterminationofpregnancy
AT abhagovind ciniiidiagnosedfollowingsurgicalterminationofpregnancy
AT delaramkermani ciniiidiagnosedfollowingsurgicalterminationofpregnancy