Poitout P, Truc J B, Paniel B J, Petit C, Musset R
Nouv Presse Med. 1978 Apr 29;7(17):1459-61.
The means for diagnosis, treatment and long follow-up of intra epithelial carcinomas of the uterine cervix are assessed by the authors, about 124 cases seen at the Hotel-Dieu de Paris. The diagnosis is given by cytologic means and mostly by colposcopic examination. When the cylindro-pavimental junction (usual initial focus) is seen in totality, direct biopsies always gave an accurate diagnosis. When the junction is not seen, only a diagnostic--conisation can allow a definitive answer. Two types of surgical treatment were applied: amputation of the cervix conservative of menstrual and/or reproductive functions and, hysterectomy led by vaginal or abdominal route. The patients were followed from 1 to 16 years by the triple cytologic, Schiller test and colposcopic examination: none of them showed any recurrence either of intra-epithelial or of invasive type.
作者对子宫颈上皮内癌的诊断、治疗及长期随访方法进行了评估，这些病例来自巴黎迪厄医院，共约124例。诊断通过细胞学方法进行，主要是通过阴道镜检查。当完整观察到柱状上皮与鳞状上皮交界处（通常是初始病灶）时，直接活检总能给出准确诊断。当未观察到交界处时，只有诊断性锥切术才能给出明确答案。采用了两种手术治疗方式：保留月经和/或生殖功能的宫颈切除术，以及经阴道或腹部途径的子宫切除术。通过细胞学检查、席勒试验和阴道镜检查对患者进行了1至16年的随访：无一例出现上皮内或浸润性复发。
