Glandular Involvement by Carcinoma in Situ of the Uterine Cervix

作者: Kase Hiroaki , Kodama Shoji , Goto Akira

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摘要: Assessment of the extent glandular involvement by carcinoma in situ (CIS) uterine cervix is important when treatment laser conization considered. A total 67 subjects consisting 28 cases therapeutic (Group A), 16 diagnostic plus simple hysterectomy B), and 23 C) were reviewed histologically. Glandular was observed 82.1% all patients, 14.5% them had no lesion surface squamous epithelium located upwards involvement. Negative resected surgical margins found 87.5% Group 58.3% B CIS, 100% 78.6% lesions In negative conization, average distances from cell layer to 4532.7 ,urn 5394.1,um Groups B, respectively. On other hand, be shorter being 3465.1,um 4021.2,um six positive three also removed uterus. five with a residual uterus, four two those same at conization. The results suggest that for CIS should performed under careful management consideration possibility involvement, even if negative.

参考文章(9)
PER KOLSTAD, VALBORG KLEM, Long-term followup of 1121 cases of carcinoma in situ. Obstetrics & Gynecology. ,vol. 48, pp. 125- 129 ,(1977) , 10.1097/00006254-197702000-00026
M. C. Anderson, R. B. Hartley, Cervical crypt involvement by intraepithelial neoplasia. Obstetrical & Gynecological Survey. ,vol. 34, pp. 852- 853 ,(1979) , 10.1097/00006254-197911000-00031
S. Paterson-Brown, O.A. Chappatte, S.K. Clark, A. Wright, P. Maxwell, N.A. Taub, K.S. Raju, The significance of cone biopsy resection margins. Gynecologic Oncology. ,vol. 46, pp. 182- 185 ,(1992) , 10.1016/0090-8258(92)90252-E
D. A. BOYES, A. J. WORTH, H. K. FIDLER, THE RESULTS OF TREATMENT OF 4389 CASES OF PRECLINICAL CERVICAL SQUAMOUS CARCINOMA Obstetrical & Gynecological Survey. ,vol. 26, pp. 397- 399 ,(1971) , 10.1097/00006254-197105000-00024
Holzer E, Burghardt E, Treatment of carcinoma in situ: evaluation of 1609 cases. Obstetrics & Gynecology. ,vol. 55, pp. 539- 545 ,(1980)
J.R. van Nagell, J.C. Parker, L.P. Hicks, R. Conrad, G. England, Diagnostic and therapeutic efficacy of cervical conization. American Journal of Obstetrics and Gynecology. ,vol. 124, pp. 134- 139 ,(1976) , 10.1016/S0002-9378(16)33288-4
Matsuyama T, Saito T, Kashimura M, Uchino H, Matsukuma K, Tsukamoto N, Nakano H, Iwasaka T, Evaluation of cervical conization as a definitive treatment for borderline lesions of the uterine cervix Acta obstetrica et gynaecologica Japonica. ,vol. 36, pp. 2063- ,(1984)
Rutledge F, Creasman Wt, Carcinoma in situ of the cervix. An analysis of 861 patients. Obstetrics & Gynecology. ,vol. 39, pp. 373- ,(1972)
Sakaguchi Y, Determination of residual lesion in remaining uterus after conization Acta obstetrica et gynaecologica Japonica. ,vol. 38, pp. 924- ,(1986)