Management of microinvasive carcinoma of cervix
Krishna, U.R.; Chitale, A.R.; Ayer, B.S.; Purandare, V.N.
Indian Journal of Cancer 16(1): 33-36
1979
ISSN/ISBN: 0019-509X PMID: 540949 Document Number: 146051
Management of 30 cases of microinvasive carcinoma by various methods is presented. Seventeen patients had diagnostic conization, of which 5 did not come for follow-up. Of the remaining 12 cases, 8 revealed residual abnormality of microinvasive carcinoma in the hysterectomy specimen. The presence of tumor islands within the blood vessels in the biopsy specimen should classify the case as stage lb requiring radical surgery or radiotherapy. A careful and proper cone biopsy is advocated for preoperative diagnosis. It is essential to wait for 6 weeks before performing the hysterectomy to prevent postoperative sepsis. In 15 patients a vaginal hysterectomy with cuff was performed after cytology and punch biopsy, as these patients refused to wait for 6 weeks. The mortality and morbidity of cases undergoing radical operation and the very low incidence of less than 2% of lymph node involvement in microinvasive carcinoma justifies a conservative surgical treatment.