Diagnosis and management of microinvasive (stage IA) carcinoma of the uterine cervix

摘要: One hundred and sixty-two cases of Stage IA microinvasive carcinoma the cervix are presented. These patients represent combined experience at University Miami School Medicine, Miami, Florida, Downstate Medical Center, Brooklyn, New York. The criteria used in both institutions 1) penetration invasive beneath basement membrane less than 1 mm 2) absence invasion blood vessel or lymphatic spaces. All tissue specimens have been measured accurately by use calibrated optics. literature has reviewed for diagnosis cancer, as well methods management. Our method determining depth is described evolution cancer presented a series photomicrographs which measurements accurate to 0.1 mm. In literature, when up 5 criterion carcinoma, incidence nodal metastasis may be high 3.5%. Since, our institutions, mortality rate with radical hysterectomy 1% ureterovaginal fistulas 1.2%, we conclude that simple not adequate therapy lesions stromal