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This is a pilot cohort study of women undergoing focal ablation for high-grade cervical intraepithelial neoplasia (HGCIN). The cohort was recruited from the UCSF Dysplasia Clinics. The standard treatment involves treatment of the entire cervix. Women with HGCIN meeting inclusion criteria were recruited for enrollment into the pilot study of focal treatment. Upon enrollment, they underwent focal ablational treatment rather than standard ablational treatment of the cervix. Follow-up visits were conducted at 2 weeks and 6 months to assess safety, feasibility, and acceptability. The 6-month recurrence rate of HGCIN will be calculated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Focal treatment arm | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Focal treatment | Procedure | Focal treatment of high-grade cervical intraepithelial neoplasia using laser ablation, cryotherapy, or loop electrosurgical excision procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Six-month recurrence rate of high-grade cervical intraepithelial neoplasia | six months |
| Measure | Description | Time Frame |
|---|---|---|
| Safety of focal treatment | Participants will be asked to report any adverse events following focal treatment. These events will be graded according to standard criteria (DAIDS). | six months |
| Acceptability of focal treatment |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Karen Smith-McCune, MD, PhD | University of California, San Francisco | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California, San Francisco | San Francisco | California | 94109 | United States |
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Participants will be asked to respond to a survey at enrollment and follow-up asking whether they are satisfied with focal treatment as an alternative method of treatment.
| six months |
| Feasibility of focal treatment | Providers will be asked to provide information after each treatment regarding whether the treatment was technically feasible to perform. | enrollment |