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Carcinoma In Situ of the Uterine Cervix:Conservative Management in 84 of 190 Cases
Author(s) -
Green G. H.
Publication year - 1962
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/j.1479-828x.1962.tb00664.x
Subject(s) - medicine , hysterectomy , carcinoma in situ , cervix , biopsy , uterine cervix , cervical carcinoma , carcinoma , surgery , cervical cancer , radiology , cancer
Summary A series of 190 patients with cervical carcinoma in situ has been presented. All have been followed for at least 1 year, and more than half for at least 2 years. The definitive treatment was total hysterectomy in 106 patients and local excision in 84. Four of the latter patients ultimately had a hysterectomy. The method of cone biopsy used, and some of its complications, are described. Of the patients who underwent hysterectomy one had positive vaginal smears after operation. Eleven of the conservatively‐treated patients showed evidence of persistent disease and one with incomplete follow‐up is assumed to have it also. The investigation and outcome of these patients are considered in detail; all except one are cytologically free of disease at present. The relative efficiency of the various types of biopsy, in completely excising a carcinoma in situ, is discussed.