Open AccessManagement of Carcinoma in situ of the Uterine Cervix by Selective Local Excision
Author(s) -
Ahlgren Mats,
Lindberg Lars Göran,
Nordqvist Staffan R. B.
Publication year - 1977
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016347709155026
Subject(s) - medicine , cryotherapy , carcinoma in situ , cervix , wide local excision , surgery , lesion , atypia , dysplasia , carcinoma , intraepithelial neoplasia , uterine cervix , cancer , pathology , prostate
. Local excision of severe dysplasia or carcinoma in situ of the uterine cervix by punch biopsies was the treatment in 366 cases. In 61%, cervical cytology reverted to negative or slight atypia. 153 patients have been followed from 1 to 7 years. Failures to remove the entire lesion were discovered within the first year of follow‐up in all cases but 10. Complications were negligible and no patients have subsequently developed invasive cancer of the cervix. Selective local excision as an alternative to other minimally traumatic techniques, e.g. cryotherapy is discussed. Although the failure rate is slightly higher with local excision, an obvious advantage is the availability of all removed tissue for histopathologic diagnosis. Thus, the risk of overlooking microinvasive disease is reduced to a minimum.