Selective cervical conization following colposcopy: a critical evaluation of 107 cases
Singh, P.; Pang, M.; Ratnam, S.S.
Singapore Medical Journal 26(3): 289-294
1985
ISSN/ISBN: 0037-5675 PMID: 4048991 Document Number: 256949
We performed selective conization for diagnosis and therapy following colposcopy in 107 women with abnormal smears; all except 2 had cervical neoplasia confirmed which was cervical intraepithelial neoplasia (CIN) 96, microinvasion 6 and invasive cancer 3. One of 3 with cone margins involved and no further treatment had residual carcinoma-in-situ. Complications encountered with haemorrhage (2.8%), cervical stenosis (0.95) but none in 3 who became pregnant. Follow-up was over 1 to 4 years with at least 2 post-conization smears in all patients and revealed persistent CIN in 2 patients but no case of invasive cancer. With selective conization cervical neoplasia is histologically verified in a very high proportion (98.1%), diagnostic conizations minimized, the procedure-associated morbidity low and the risk of undertreatment which exists with destructive methods is obviated.