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PubMed1983

[Complete and incomplete removal of precancerous conditions by conization].

673 patients with cervical lesions ranging from mild dysplasia to microcarcinoma have been treated by cone biopsy. There was a complete removal of the premalignant or malignant tissue in 70% of the cases, depending on the degree of severity of the lesion. In 42% of the cases (166 patients) in which hysterectomy was performed for incomplete conisation, no rests of the epithelial lesion could be found. Therefore it is recommended to follow these patients by means of cytology and colposcopy without immediate hysterectomy, especially in women who desire further pregnancies. Among 28 patients followed in this way there was recurrency only in 2 cases. In spite of "complete" conisation there were rests of cancerous tissue in 11 of 66 cases. The latter results show the necessity of a consequent follow-up also for these patients.

Carcinoma in Situ↗
PubMed1978

[Experience report on 495 conizations].

Report on 495 conisations in the 1966--1976 periol. Postoperative bleedings habe been observed in 5,25 per cent of all cases. In 60 out of 91 prestate cases (58 carcinomata in situ and 33 states of the Ia category) an exstirpation of the uterus was the final method of therapy. 2 recidive cases and 1 cases of a second outbreak are described. The exstirpation of the uterus with insertion of a vaginal collar is recommended as the optimum method of therapy. A conservative position os token only in the case of a strongly expressed wish to become pregnant.

Adult↗