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Histopathologic diagnosis
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Management
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Row total
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No treatment indicated (row%) (column%)
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Immediate management based on colposcopic impression (row%) (column%)
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Delayed excisional treatment on a recall visit (row%) (column%)
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With ablation
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With LLETZ
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Completed
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Pendinga
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<CIN2
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1158 (88.7%) (100.0%)
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90 (6.9%) (78.9%)
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54 (4.1%) (69.2%)
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3c (0.2%) (12.0%)
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0
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1305 (100%)
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CIN2
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Diagnosed on biopsy/LLETZ
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0
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10 (40.0%) (8.8%)
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11 (44.0%) (14.1%)
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2 (8.0%) (8.0%)
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2 (8.0%) (16.7%)
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25 (100%)
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Diagnosed on ECC
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0
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0
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0
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8 (66.7%) (32.0%)
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4 (33.3%) (33.3%)
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12 (100%)
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CIN3
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Diagnosed on biopsy/LLETZ
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0
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13 (38.2%) (11.4%)
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12 (35.3%) (15.4%)
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5 (14.7%) (20.0%)
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4 (11.8%) (33.3%)
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34 (100%)
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Diagnosed on ECCb
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0
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1 (16.7%) (0.9%)
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0
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3 (50.0%) (12.0%)
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2 (33.3%) (16.7%)
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6 (100%)
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Cancer
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Diagnosed on biopsy/LLETZ
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0
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0
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1d (20.0%) (1.3%)
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4 (80.0%) (16.0%)
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0
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5 (100%)
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Column total
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1158 (100%)
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114 (100%)
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78 (100%)
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25 (100%)
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12 (100%)
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Grand total = 1387
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- aRecall attempts are temporarily paused due to COVID-19 pandemic spread
- bIncludes two women with OncoE6 HPV 16 positive, in whom LLETZ was recommended on recall and is still incomplete
- cIncludes one case with colposcopic impression of cancer treated with hysterectomy of what eventually turned out to be <CIN2; other two cases were recalled for LLETZ due to reporting error
- dInvasive squamous cell carcinoma with CIN3 at margins was diagnosed on on-site LLETZ leading to a recall for a repeat LLETZ with CIN3 diagnosis leading to a 2nd recall for a hysterectomy