Importance of surgical margins in conization for cervical intraepithelial neoplasia grade III

被引：0
|
作者：
E. F. C. Murta
A. V. Resende
Maria A. H. Souza
Sheila J. Adad
Resalla Salum
机构：
[1] Discipline of Gynecology and Obstetrics,
[2] Faculty of Medicine of ”Tri^angulo Mineiro”,undefined
[3] Av. Getúlio Guaritá,undefined
[4] s/n,undefined
[5] Bairro Abadia,undefined
[6] 38025-440 Uberaba,undefined
[7] MG,undefined
[8] Brazil e-mail: eddiemurta@mednet.com.br Tel: +55-021-34-318-5326,undefined
[9] Fax: +55-021-34-333-8710,undefined
来源：
Archives of Gynecology and Obstetrics | 1999年 / 263卷
关键词：
Key words Conization; Hysterectomy; Cervical intraepithelial neoplasia grade III; Margin involvement; Residual neoplasia;
D O I：
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学科分类号：
摘要：
We conducted a retrospective study on 201 conizations for CIN III done over the last 14 years. Of these, 53 (26.4%) had involvement of the margins, 114 (56.7%) had margins free of neoplasia, and 34 (16.9%) were not evaluated. Of the 53 cases with margin involvement, 28 (52.8%) had complementary surgery and 25 (47.2%) cytological follow-up. Residual CIN was identified in the surgical specimen in 15 cases (53.6%) and microinvasion was present in 2 cases (7.1%). Of the 114 patients with margins free of neoplasia in the cone, 12 had a hysterectomy during follow-up for CIN III diagnosed by cytology and biopsy. Seven of these 12 patients (58.3%) had CIN in the surgical specimen and none had microinvasive cancer.
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页码：42 / 44
页数：2
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