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Margin status of conizations with histological finding carcinoma in situ


Authors: P. Freitag
Authors‘ workplace: Gynekologicko‑porodnická klinika 1. LF UK a VFN v Praze
Published in: Prakt Gyn 2010; 14(1): 10-13
Category: Original Article

Overview

A series of 116 conizations with histological finding carcinoma in situ has been analyzed retrospectively. Positive margins were found in 37,4 % of squamous and 55,6 % of glandular carcinoma in situ cases. Endocervical versus exocervical reach has occured twice more frequently. The curretage of proximal canal of uterine cervix has allowed for non‑diagnostic material in a part of cases. Endocervical positive margin is more serious and its management has to be more active. In approximately one half of cases of reoperations because of positive margins the histological finding of reoperation was negative. Requirements for adequate performance of conization, possibilities of minimalization of positive margins occurrence and their management have been discussed.

Key words:
conization –  carcinoma in situ –  margin status


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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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