Selective applications of excisional surgical treatments of cervical precancers

Abstract Cervical precancers encompass high-grade squamous intraepithelial lesion and adenocarcinoma in situ. Treatment of precancerous lesions can reduce cervical cancer mortality and prevent the development of invasive cervical cancer. The choice of treatment regimen needs to follow the principle...

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Bibliographic Details
Published inGynecology and obstetrics clinical medicine Vol. 3; no. 4; pp. 198 - 202
Main Authors Wu, Minxia, You, Zhixue
Format Journal Article
LanguageEnglish
Published BMJ Publishing Group 01.12.2023
Subjects
Adenocarcinoma in situ
Excisional treatment
High-grade squamous intraepithelial lesion
Hysterectomy
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Summary:Abstract Cervical precancers encompass high-grade squamous intraepithelial lesion and adenocarcinoma in situ. Treatment of precancerous lesions can reduce cervical cancer mortality and prevent the development of invasive cervical cancer. The choice of treatment regimen needs to follow the principle of individualization and should be based on a combination of factors, including the patient's age, fertility requirements, pregnancy status, pathological type, type of colposcopic transformation zone, patient's follow-up conditions, and the experience of the treating provider. This article presents an opinion regarding the appropriate indications for excisional surgery and total hysterectomy in the management of precancerous lesions of the cervix, with the aim of establishing standardized therapeutic approaches for the treatment of precancerous lesions of the cervix.
ISSN:2097-0587
2667-1646
DOI:10.1016/j.gocm.2023.11.003