宫颈微浸润癌的保守性锥形切除术
Conservative conization for microinvasive carcinoma of the cervix.
作者信息
Tseng C J, Horng S G, Soong Y K, Hsueh S, Hsieh C H, Lin H W
机构信息
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taoyuen, Taiwan, Republic of China.
出版信息
Am J Obstet Gynecol. 1997 May;176(5):1009-10. doi: 10.1016/s0002-9378(97)70394-6.
OBJECTIVE
Our purpose was to examine conservative conization as treatment for microinvasive carcinoma of the cervix with depth of invasion < 3 mm.
STUDY DESIGN
Twelve patients with microinvasive carcinoma of the cervix underwent cervical conization under colposcopic guidance followed by careful observation.
RESULTS
The 12 patients were alive without evidence of disease after a mean follow-up of 6.7 years. Four pregnancies with term deliveries were identified.
CONCLUSION
Microinvasive carcinoma with a depth of invasion < 3 mm without confluent invasion or lymph vascular involvement can be treated successfully with conservative conization and provided a good pregnancy outcome.
目的
我们的目的是研究保守性宫颈锥切术作为浸润深度<3mm的宫颈微浸润癌的治疗方法。
研究设计
12例宫颈微浸润癌患者在阴道镜引导下接受宫颈锥切术，随后进行密切观察。
结果
平均随访6.7年后，12例患者均存活，无疾病证据。确认有4例足月分娩的妊娠。
结论
浸润深度<3mm、无融合浸润或淋巴管受累的宫颈微浸润癌，采用保守性宫颈锥切术可成功治疗，并能获得良好的妊娠结局。
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