IMR Press / EJGO / Volume 19 / Issue 4 / pii/1998177

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Original Research

Combination laser conization as treatment of microinvasive carcinoma of the uterine cervix

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1 Department of Obstetrics and Gynecology and Department of Pathology, Aalborg Hospital, Section North, Aalborg, Denmark
Eur. J. Gynaecol. Oncol. 1998, 19(4), 352–355;
Published: 10 August 1998

During the period June 1985 to August 1992 combination laser conization was considered definite therapy in 41 patients with microinvasive carcinoma of the cervix. Selection criteria for conservative, fertility-saving therapy were: invasion 3 mm or less, no lymphovascular involvement and horizontal spread of 7 mm or less. After treatment patients were followed for 5 to 12 years, mean follow-up 81 months, and mean number of examination was 10. In one cases, adenocarcinoma in situ was diagnosed during follow-up. In all other cases persistent or recurrent disease was not diagnosed during follow-up. By thorough histopathologic eva­luation and strict criteria for selection of patients, it was possible to perform conservative treatment with no observed risk of under­treatment. Combination laser conization was a useful treatment modality. A follow-up regimen based on colposcopy and cytology proved sufficient.

Combination laser conization
Microinvasive carcinoma
Uterine cervix
Conservative treatment
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