Saraiya U, Garud M, Mehtaji S, Fernandes W
Int Surg. 1978 Feb;63(2):105-7.
The aim of our clinic is to diagnose and keep under observation all cases of moderate dysplasia. We consider cone biopsy to be purely diagnostic in all cases of severe dysplasia and carcinoma in situ. Once the diagnosis is confirmed, we recommend hysterectomy for all except an occasional young patient who has not completed her family. In view of the high incidence of invasive cervical cancer, poor follow-up rate and lack of sophisticated radiation techniques in our country, we do not believe in keeping such patients under observation. These views are further substantiated by a low morbidity rate for surgery at this stage of the disease.
我们诊所的目标是诊断并密切观察所有中度发育异常的病例。我们认为，对于所有重度发育异常和原位癌病例，锥形活检纯粹是为了诊断。一旦确诊，除了偶尔有未育的年轻患者外，我们建议对所有患者进行子宫切除术。鉴于我国浸润性宫颈癌的发病率高、随访率低以及缺乏先进的放疗技术，我们不主张对这类患者进行观察。疾病这一阶段手术的低发病率进一步证实了这些观点。
