Cervical Carcinoma in situ after Incomplete Conisation

IF 1.6 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Minoru Ueki, G. H. Green
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引用次数: 3

Abstract

To investigate further the nature and treatment of cervical carcinoma in situ (CIS), 211 conisation specimens reported as showing “incomplete excision of CIS,” obtained at Auckland University's National Women's Hospital were examined and the histological findings correlated with long-term follow-up (2 to 16 years); 88.4% were followed for at least 5 years.

There was persistence or recurrence in 34.1% of the total. Recurrence was related to the extent of CIS in the cervix, as judged from the incompletely excised sites and remaining tissue blocks. Micro-invasive carcinoma was found in 4 patients (1.9%) and invasive carcinoma (Stage Ib “occ”) in 2 (0.9%). It was concluded that when the CIS is small in extent in the cervix, or is incompletely excised only at the exocervix, spontaneous disappearance of any remainder can be expected. The findings suggest that the continued existence of incompletely excised CIS is significantly inhibited by the healing process.

宫颈原位癌后不完全锥形
为了进一步研究宫颈原位癌(CIS)的性质和治疗方法,我们对奥克兰大学国立妇女医院211例报告为“CIS不完全切除”的锥化标本进行了检查,并对组织学结果进行了长期随访(2至16年)。88.4%的患者随访至少5年。持续或复发占34.1%。从未完全切除的部位和剩余的组织块判断,复发与宫颈CIS的程度有关。微侵袭性癌4例(1.9%),浸润性癌(Ib期)2例(0.9%)。结论是,当CIS在子宫颈的范围很小,或仅在子宫颈外切除不完全时,可以预期任何剩余部分的自发消失。研究结果表明,未完全切除的CIS的持续存在明显受到愈合过程的抑制。
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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
376
审稿时长
3-6 weeks
期刊介绍: The Journal of Obstetrics and Gynaecology Research is the official Journal of the Asia and Oceania Federation of Obstetrics and Gynecology and of the Japan Society of Obstetrics and Gynecology, and aims to provide a medium for the publication of articles in the fields of obstetrics and gynecology. The Journal publishes original research articles, case reports, review articles and letters to the editor. The Journal will give publication priority to original research articles over case reports. Accepted papers become the exclusive licence of the Journal. Manuscripts are peer reviewed by at least two referees and/or Associate Editors expert in the field of the submitted paper.
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