Conization as only treatment of carcinoma in situ of the uterine cervix

Knife conization was performed in 2,099 cases with abnormal vaginal smears. The frequency of complications was low. Carcinoma in situ was diagnosed in 1,500 cases and follow-up showed that conization was curative in 87%. The curative rate was depending on whether the resection margins were free of p...

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Bibliographic Details
Published inAmerican journal of obstetrics and gynecology Vol. 125; no. 2; p. 143
Main Authors Bjerre, B, Eliasson, G, Linell, F, Söderberg, H, Sjöberg, N O
Format Journal Article
LanguageEnglish
Published United States 15.05.1976
Subjects
Adolescent
Adult
Age Factors
Aged
Carcinoma in Situ - pathology
Carcinoma in Situ - surgery
Cervix Uteri - surgery
Cryosurgery
Female
Follow-Up Studies
Humans
Length of Stay
Middle Aged
Postoperative Complications
Pregnancy
Recurrence
Uterine Cervical Neoplasms - pathology
Uterine Cervical Neoplasms - surgery
Vaginal Smears
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Summary:Knife conization was performed in 2,099 cases with abnormal vaginal smears. The frequency of complications was low. Carcinoma in situ was diagnosed in 1,500 cases and follow-up showed that conization was curative in 87%. The curative rate was depending on whether the resection margins were free of pathologic epithelium or not. If smears were repeatedly negative the first year after conization a new diagnosis of cancer was made in 0.4%. It was not possible to decide whether these lesions were residual changes or true recurrences. Treatment of carcinoma in situ by conization has so far reduced the frequency of invasive cervical cancer by 60%.
ISSN:0002-9378
DOI:10.1016/0002-9378(76)90584-6