Lubicz S, Ezekweche C, Allen A, Schiffer M
J Reprod Med. 1984 Mar;29(3):179-84.
Too many patients in the United States undergo hysterectomy for cervical neoplasia following cone biopsy because too many gynecologists choose not to pay attention to the pathology present at the margins of the cone specimen. In view of the need to improve the management of cervical neoplasia--i.e., to reduce the number of needless hysterectomies--a retrospective study was done to verify the trend in our institution and to evaluate the utilization of cone biopsy to determine the extent of the process. Also, the methods used for procuring the cone sample and for interpreting the results of the biopsy were studied. The present study included 345 patients who underwent a cone biopsy; subsequently, 102 of them had a hysterectomy. Based on the evaluation of the cases in this study, information was obtained about the performance of cone biopsy and the guidelines for determining when a hysterectomy should be performed and when other, less drastic means of eradicating the neoplasia should be considered.
在美国，太多接受宫颈锥形活检后患有宫颈肿瘤的患者接受了子宫切除术，因为太多妇科医生选择不关注锥形标本边缘存在的病理情况。鉴于改善宫颈肿瘤管理的必要性——即减少不必要的子宫切除数量——我们进行了一项回顾性研究，以核实我们机构的趋势，并评估锥形活检在确定病情程度方面的应用情况。此外，还研究了获取锥形样本和解读活检结果所使用的方法。本研究纳入了345例行锥形活检的患者；随后，其中102人接受了子宫切除术。基于对本研究中病例的评估，获得了有关锥形活检的实施情况以及确定何时应进行子宫切除术以及何时应考虑其他不太激进的肿瘤根除方法的指导原则的信息。
