Age and Prevalence of Cervical Carcinoma in Subsequent Hysterectomy Following a Conization Procedure

Taiwanese Journal of Obstetrics & Gynecology

卷:48

Yu-Hsiang Lin¹  Ting-Hung Wun¹  Ying-Lun Sun¹  Chun-Hung Chen¹  Chen-Bin Wang¹  Chih-Jen Tseng¹  Chung-Yuan Lee¹  Ching-Cheng Tseng¹  Will Wei-Cheng Chiu² 

[1] Department of Obstetrics and Gynecology Chia-Yi Chang Gung Memorial Hospital, Chia-Yi, Changhua, Taiwan;

[2] Department of Obstetrics and Gynecology, Chang-Bing Show Chwan Memorial Hospital, Changhua, Taiwan;

关键词: cervical intraepithelial neoplasia;    cervix cancer;    conization;    electrosurgery;    hysterectomy;   

DOI  :  10.1016/S1028-4559(09)60299-0

来源: DOAJ

【 摘 要 】

Objective: To determine the prevalence and age of patients with cervical carcinoma missed by a loop electrosurgical excision procedure.Materials and Methods: A total of 253 women with cervical dysplasia who underwent conization and 248 women who later underwent hysterectomy were retrospectively reviewed. The age and prevalence of those with cervical carcinoma diagnosed and missed by conization were determined.Results: Of the 248 patients, 11 cases (4.4%) of cervical carcinoma were missed by cervical conization. The age of those with cervical carcinoma missed by conization was significantly greater than those whose diagnosis was not missed (p < 0.05).Conclusion: Women with severe cervical dysplasia who no longer wish to preserve fertility should be advised to undergo hysterectomy if the conization margins are not free of disease. Older women with incomplete resection margins tend to have undiagnosed hidden cervical carcinoma after cervical conization.

【 授权许可】

Unknown