Schumacher A, Schwarz R
Klinik für Gynäkologie und Geburtshilfe, Wilhelm-Pieck-Universität Rostock.
Zentralbl Gynakol. 1989;111(5):310-6.
A report is given on 226 cases of stage Ia cervical carcinoma from 1966 to 1986. One third of the patients were younger than 30 years. Only 23% of all cases had symptoms which lead to further diagnostics. When coming to hospital 12% of the cases did not have any cytological smear. The remainder of the patients had an unphysiological cervical smear. Colposcopy showed an unphysiological result in 74% and a physiological result in 3%. 23% of the patients did not have any colposcopy when coming to hospital. Cervical biopsies are insufficient to clarify a suspicious case. The importance of conisation for making the diagnose "stage Ia cervical carcinoma" is explained.
本文报告了1966年至1986年间226例Ia期宫颈癌病例。三分之一的患者年龄小于30岁。所有病例中只有23%出现了促使进一步诊断的症状。就诊时,12%的病例没有任何细胞学涂片。其余患者有异常的宫颈涂片。阴道镜检查显示74%结果异常,3%结果正常。就诊时23%的患者未进行任何阴道镜检查。宫颈活检不足以明确可疑病例。解释了锥形切除术对于诊断“Ia期宫颈癌”的重要性。