[Intraepithelial cervical neoplasia: incidence of associated condylomatous lesions. Results of CO2 laser treatment].

The present study reports our results using the CO2 Laser destruction of cervical intra-epithelial neoplasia (CIN) and points out the relationship with condylomatous lesions. 97 patients were selected and evaluated by cytology, colposcopy and directed punch biopsy. The cytologic criteria used for identification of virus infection are now well recognized. 12 CIN were overdiagnosed and lesions reclassified as condyloma. 85 CIN were studied. Epithelial changes suggestive of a condylomatous lesion were found in 27 cases (31.7%) and respectively 11.5% of CIN I, 37.8% of CIN II and 45.5% of CIN III. Further studies are required to evaluate the significance of condylomatous-CIN association. 70 women were treated by CO2 Laser including 24 CIN I, 32 CIN II and 14 CIN III. The primary failure rate for CIN I was 9.1%, CIN II 12.2%, CIN III 30.7%. However after a second treatment the total success rate was 93.8%. These data may give impetus for active management of precancerous lesions of the cervix.