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Carcinoma‐in‐situ of the cervix: is post‐hysterectomy cytology worthwhile?
Author(s) -
FAWDRY R. D. S.
Publication year - 1984
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1984.tb05281.x
Subject(s) - cervix , hysterectomy , medicine , carcinoma in situ , vaginal vault , dysplasia , cytology , carcinoma , gynecology , obstetrics , surgery , cancer , pathology
Summary. The cytological records for the years 1950–1980 from South East Scotland revealed 1062 patients who had had histologically confirmed carcinoma‐in‐situ (or severe dysplasia) of the cervix at the time of hysterectomy. Ten cases of early ‘recurrence’ were detected in the first year of follow‐up. During 4304 women‐years of subsequent regular follow‐up by vaginal vault smears, only one further confirmed recurrence was detected, this being a poorly differentiated squamous carcinoma in a 26‐year‐old patient, 4 years after hysterectomy. Two further patients not in regular follow‐up presented clinically with invasive carcinoma. The implications for follow‐up policies are discussed.