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Trial Title: Diagnostic Cervical Conization for Persistent Infection or Integration of HPV

NCT ID: NCT05510830

Condition: Human Papilloma Virus Infection
Human Papilloma Virus Integration
Cervical Intraepithelial Neoplasia
Cervical Cancer
Cervical Conization

Conditions: Official terms:
Infections
Communicable Diseases
Papillomavirus Infections
Persistent Infection
Papilloma
Uterine Cervical Dysplasia

Conditions: Keywords:
HPV persistent infection
HPV integration
diagnostic cervical conization

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Diagnostic

Masking: None (Open Label)

Intervention:

Intervention type: Procedure
Intervention name: diagnostic cervical conization
Description: For the patients who met the inclusion criteria, the gynecologists perform cervical conization and pathological examinations. Then the patients will be followed-up for at least two years with the tests of cervical TCT & HPV, and colposcopy if necessary. The data will be analyzed and see if the patients with high risk factors benefit from the surgery or not.
Arm group label: Patients

Summary: For the patients with cervical persistent infection or integration of HPV, we has designed a program to perform cervical conization for certain patients to earlier and better diagnose and cure the diseases of HPV infection and related cervical intraepithelial neoplasia/cancer.

Detailed description: For the patients with cervical persistent infection or integration of human papillomavirus, the incidence of suffering cervical cancer or percancerous lesions increases. As the biopsy guided by colposcopy might miss some lesions, the cervical conization plays a role for the patients with high risk factors to diagnose the related cervical diseases. In this study, we has designed a program to perform cervical conization for certain patients to earlier and better diagnose and cure the diseases of HPV infection and related cervical intraepithelial neoplasia/cancer.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. The patients are referred to colposcopy and biopsy examinations due to abnormal cervical screening results with no precancerous lesions discovered by pathology. 2. The cervical precancerous lesions are highly suspected by clinicians with one or more following risk factors: - The course of HPV type 16/18 persistent infection is more than two years. - The integration reads of HPV is more than 15. - The impression of colposcopy indicates precancerous lesions. - The cervical TCT indicates ASC-H/HSIL/SCC/AGC-FN/AIS/AC. Exclusion Criteria: 1. Pregnant women. 2. Vaginal intraepithelial neoplasia is highly suspected by colposcopy and pathological examinations. 3. The patients are suffering malignant tumors of other system and have not been cured. 4. There is acute inflammation of the lower genital or anal tract. 5. The patients' health will be severely harmed by the colposcopy and cervical conization due to some circumstances such as severe insufficiency of liver and kidney function, blood diseases and acute inflammation of other systems.

Gender: Female

Minimum age: 25 Years

Maximum age: 70 Years

Healthy volunteers: No

Locations:

Facility:
Name: Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology

Address:
City: Wuhan
Zip: 350000
Country: China

Start date: October 2022

Completion date: January 2030

Lead sponsor:
Agency: Tongji Hospital
Agency class: Other

Collaborator:
Agency: National Natural Science Foundation of China
Agency class: Other

Source: Tongji Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05510830

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