{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T16:09:59Z","timestamp":1789661399862,"version":"4.0.1"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,1,25]],"date-time":"2018-01-25T00:00:00Z","timestamp":1516838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate whether a concern for future pregnancy is reflected in the extent of large loop excision of the transformation zone (LLETZ) and to assess the clinical outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reviewed the medical records of 275 women who underwent LLETZ for precancerous lesions in cervix. We divided them into two groups according to pregnancy possibility in the future: nonpotential versus potential group. The potential group was arbitrarily defined as women who met one of the following: (i) regardless of marital status, younger than 41\u2009years with less than two parities and (ii) regardless of parity, younger than 46\u2009years and unmarried. After propensity score matching (1:1, 44 women in each group), we compared the extent of LLETZ with respect to short\u2010term recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After LLETZ, similar percentages of patients were finally diagnosed with \u2265CIN3 (cervical intraepithelial neoplasia 3) in the two groups (27 [61.4%] vs 32 [72.7%], <jats:italic>P<\/jats:italic>\u2009=\u20090.257). Notably, the largest transverse diameter of LLETZ specimen was significantly larger in the nonpotential group (2.74\u2009\u00b1\u20091.06 vs 2.37\u2009\u00b1\u20090.62\u2009cm, <jats:italic>P<\/jats:italic>\u2009=\u20090.047). There were more women with exocervical resection margin involvement in the potential group than in the nonpotential group (14 [31.8%] vs 6 [13.6%], <jats:italic>P<\/jats:italic>\u2009=\u20090.042). However, there was no significant difference in the incidence of short\u2010term recurrence \u2265HSIL (high\u2010grade squamous intraepithelial lesion) within 24\u2009months after LLETZ between the two groups (1 [2.3%] vs 1 [2.3%], <jats:italic>P<\/jats:italic>\u2009&gt;\u20090.999).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Pregnancy possibility in the future may affect the extent of LLETZ, as assessed by the largest transverse diameter obtained. This finding may be associated with increased resection margin involvement in women with future pregnancy possibility.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13582","type":"journal-article","created":{"date-parts":[[2018,1,25]],"date-time":"2018-01-25T12:23:34Z","timestamp":1516883014000},"page":"772-777","source":"Crossref","is-referenced-by-count":2,"title":["Do fertile women have an inferior treatment for high\u2010grade precancerous lesions?"],"prefix":"10.1111","volume":"44","author":[{"given":"Miseon","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Seoul National University Bundang Hospital  Seongnam Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hye\u2010yon","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hallym University Dongtan Sacred Heart Hospital  Hwaseong Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaeil","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Seoul National University Bundang Hospital  Seongnam Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Hoon","family":"Suh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Seoul National University Bundang Hospital  Seongnam Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kidong","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Seoul National University Bundang Hospital  Seongnam Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jae Hong","family":"No","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Seoul National University Bundang Hospital  Seongnam Republic of 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