Kraus H, Prinz W
Geburtshilfe Frauenheilkd. 1979 Jan;39(1):58-60.
Report of 86 cone biopsies for dysplasias of the cervix. In 11 of these cases the cone biopsy did not show a clearly dysplasia free margin. These patients were followed from 1 to 6 years without further treatment and none showed a suspicious or positive pap smear. In young patients who desire further pregnancies it appears to be justified to follow without further treatment even after incomplete cone biopsies for dysplasia. Two patients with complete removal of the dysplasia and a normal margin in the cone biopsy later showed positive pap smears. The importance of further follow-up of the cases is stressed.
86例宫颈发育异常锥形活检报告。其中11例锥形活检未显示切缘无明显发育异常。这些患者未经进一步治疗随访1至6年,无一例巴氏涂片检查结果可疑或呈阳性。对于有再次妊娠意愿的年轻患者,即使锥形活检不完全切除发育异常组织,不进行进一步治疗而进行随访似乎也是合理的。两名在锥形活检中发育异常组织完全切除且切缘正常的患者,后来巴氏涂片检查呈阳性。强调了对这些病例进行进一步随访的重要性。