PT  - JOURNAL ARTICLE
AU  - Mulhem, Elie
AU  - Kennedy, Elizabeth L.
AU  - Lick, David
TI  - Treatment of Cervical Dysplasia with the Fischer Cone Biopsy Excisor in a Family Medicine Office: A Case Series
AID  - 10.3122/jabfm.2010.02.090002
DP  - 2010 Mar 01
TA  - The Journal of the American Board of Family Medicine
PG  - 154--158
VI  - 23
IP  - 2
4099  - http://www.jabfm.org/content/23/2/154.short
4100  - http://www.jabfm.org/content/23/2/154.full
SO  - J Am Board Fam Med2010 Mar 01; 23
AB  - Purpose: The purpose of this study was to evaluate the use of the Fischer cone biopsy excisor (FCBE) as the primary electrode for treatment of cervical dysplasia in a family medicine office.Methods: Retrospective analysis of cervical electrosurgical excision procedures in patients with cervical intraepithelial neoplasia (CIN) performed in our Family Medicine Center between 2002 and 2005.Results: We reviewed 91 cases. Indication for excision was ≥CIN II in 86.8% of the patients. In the FCBE group (n = 86), 95% of the specimen margins were negative for dysplasia, 90% had no reported thermal artifact, and 81% were submitted unfragmented. In the FCBE and the loop electrosurgical excision procedure (LEEP) group (n = 5), 4 of the 5 specimens’ margins were negative for dysplasia. Reported complications included palpitations or flushing during cervical block (32%), pain (9%), and heavy bleeding (3%).Conclusion: In this case series the use of the FCBE with or without the LEEP in a family medicine office provided a high rate of negative margins for dysplasia and a low rate of fragmentation and thermal artifact. Family physicians who perform LEEP can also use the FCBE safely in their offices to treat cervical dysplasia.