Brémond A, Frappart L
Hôpital Edouard-Herriot, Service de Gynécologie, Lyon.
Rev Fr Gynecol Obstet. 1988 May;83(5):331-2.
Micro-invasive carcinomas of the cervix (Stage Ia of the IFGO) are characterized by an absence of clinical signs. Among the prognostic criteria are the depth of the invasion (5 mm for the IFGO, 3 mm for us), the superficial extension (7 mm in the largest diameter) and the possible presence of lymphatic or vascular emboli in the connective tissue of the cervix. Only semi-successive secretions (every 300 microns) enable to accurately define these lesions. It is then possible to individualize two types of micro-invasive carcinoma. Group A (less than 3 mm deep, less than 7 mm on the surface and without emboli) may be treated by conization if the resection line is in healthy tissue and the operative specimen studied in semi-successive sections. In the other cases (group B) a Wertheim procedure with lymphadenectomy is indicated.
宫颈微浸润癌（国际妇产科联盟（FIGO）分期为Ia期）的特点是无临床体征。预后标准包括浸润深度（FIGO标准为5mm，我们的标准为3mm）、浅表扩展范围（最大直径7mm）以及宫颈结缔组织中可能存在的淋巴或血管栓塞。只有半连续切片（每300微米）才能准确界定这些病变。进而可以区分出两种微浸润癌。A组（浸润深度小于3mm，表面小于7mm且无栓塞），如果切除线位于健康组织且手术标本进行半连续切片检查，则可通过锥切术治疗。在其他情况下（B组），则需行Wertheim手术并进行淋巴结切除术。
