Conservative management of stage IA1 squamous cell carcinoma of the cervix with positive resection margins after conization

International Journal of Gynecology and Obstetrics

Volumn 109, Issue 2, 2010, Pages 110-112

  Kim, Woo Young ^a   Chang, Suk Joon ^a   Chang, Ki Hong ^a   Yoo, Seung Chul ^a   Ryu, Hee Sug ^a  

^a Ajou University Medical Center   (South Korea)

Author keywords

Cold knife conization; Conservative management; Electrocauterizaion; Microinvasive carcinoma; Resection margin

Indexed keywords

ADULT; AGED; ARTICLE; CANCER GRADING; CANCER RECURRENCE; CANCER STAGING; CANCER SURGERY; CAUTERIZATION; CONSERVATIVE TREATMENT; CONTROLLED STUDY; FEASIBILITY STUDY; FEMALE; FOLLOW UP; HISTOPATHOLOGY; HUMAN; HYSTERECTOMY; MAJOR CLINICAL STUDY; MINIMAL RESIDUAL DISEASE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; TREATMENT OUTCOME; UTERINE CERVIX CARCINOMA IN SITU; UTERINE CERVIX CONIZATION;

EID: 77950518666     PISSN: 00207292     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijgo.2009.11.017     Document Type: Article

References (25)

1. FIGO. Modifications in the staging for stage I vulvar and stage I cervical cancer. Report of the FIGO Committee on Gynecologic Oncology. Int J Gynecol Obstet 50 2 (1995) 215-216
2. Cervical cancer. NIH Consens Statement. 1996;14(1):1-38.
3. Poynor E.A., Marshall D., Sonoda Y., Slomovitz B.M., Barakat R.R., and Soslow R.A. Clinicopathologic features of early adenocarcinoma of the cervix initially managed with cervical conization. Gynecol Oncol 103 3 (2006) 960-965
4. Morris M., Mitchell M.F., Silva E.G., Copeland L.J., and Gershenson D.M. Cervical conization as definitive therapy for early invasive squamous carcinoma of the cervix. Gynecol Oncol 51 2 (1993) 193-196
5. Phongnarisorn C., Srisomboon J., Khunamornpongy S., Siriaungkuly S., Suprasert P., Charoenkwan K., et al. The risk of residual neoplasia in women with microinvasive squamous cervical carcinoma and positive cone margins. Int J Gynecol Cancer 16 2 (2006) 655-659
6. Roman L.D., Felix J.C., Muderspach L.I., Agahjanian A., Qian D., and Morrow C.P. Risk of residual invasive disease in women with microinvasive squamous cancer in a conization specimen. Obstet Gynecol 90 5 (1997) 759-764
7. Phelps J.Y., Ward J.A., Szigeti J., Bowland C.H., and Mayer A.R. Cervical cone margins as a predictor for residual dysplasia in post-cone hysterectomy specimens. Obstet Gynecol 84 1 (1994) 128-130
8. Reich O., Lahousen M., Pickel H., Tamussino K., and Winter R. Cervical intraepithelial neoplasia III: long-term follow-up after cold-knife conization with involved margins. Obstet Gynecol 99 2 (2002) 193-196
9. Lee S.H., Kim Y.M., Son W.S., You H.J., Kim D.Y., Kim J.H., et al. The efficacy of conservative management after conization in patients with stage IA1 microinvasive cervical carcinoma. Acta Obstet Gynecol Scand 88 2 (2009) 209-215
10. Itsukaichi M., Kurata H., Matsushita M., Watanabe M., Sekine M., Aoki Y., et al. Stage Ia1 cervical squamous cell carcinoma: conservative management after laser conization with positive margins. Gynecol Oncol 90 2 (2003) 387-389
11. Lee S.J., Kim W.Y., Ahn G.H., Lee J.H., Kim B.G., Bae D.S., et al. Conization using electrosurgical conization and cold coagulation for international federation of gynecology and obstetrics stage IA1 squamous cell carcinomas of the uterine cervix. Int J Gynecol Cancer 19 3 (2009) 407-411
12. Benedet J.L., and Anderson G.H. Stage IA carcinoma of the cervix revisited. Obstet Gynecol 87 6 (1996) 1052-1059
13. Ueki M., Okamoto Y., Misaki O., Seiki Y., Kitsuki K., Ueda M., et al. Conservative therapy for microinvasive carcinoma of the uterine cervix. Gynecol Oncol 53 1 (1994) 109-113
14. Benedet J.L., and Anderson G.H. Stage IA carcinoma of the cervix revisited. Obstet Gynecol 87 6 (1996) 1052-1059
15. Copeland L.J., Silva E.G., Gershenson D.M., Morris M., Young D.C., and Wharton J.T. Superficially invasive squamous cell carcinoma of the cervix. Gynecol Oncol 45 3 (1992) 307-312
16. Gurgel M.S., Bedone A.J., Andrade L.A., and Panetta K. Microinvasive carcinoma of the uterine cervix: histological findings on cone specimens related to residual neoplasia on hysterectomy. Gynecol Oncol 65 3 (1997) 437-440
17. Paterson-Brown S., Chappatte O.A., Clark S.K., Wright A., Maxwell P., Taub N.A., et al. The significance of cone biopsy resection margins. Gynecol Oncol 46 2 (1992) 182-185
18. Lee E.J., Lee S.J., Cha K.B., Kim H.S., Park C.S., Bae D.S., et al. Management of patients with CIN III and positive margins after cervical conization. Korean J Obstet Gynecol 44 9 (2001) 1664-1670
19. Buxton E.J., Luesley D.M., Wade-Evans T., and Jordan J.A. Residual disease after cone biopsy: completeness of excision and follow-up cytology as predictive factors. Obstet Gynecol 70 4 (1987) 529-532
20. Husseinzadeh N., Shbaro I., and Wesseler T. Predictive value of cone margins and post-cone endocervical curettage with residual disease in subsequent hysterectomy. Gynecol Oncol 33 2 (1989) 198-200
21. Ostergard D.R. Prediction of clearance of cervical intraepithelial neoplasia by conization. Obstet Gynecol 56 1 (1980) 77-80
22. White C.D., Macatol F.R., and DeJosef A.B. Inflammatory cell infiltrate in the cervix as a predictor of residual cervical intraepithelial neoplasia after conization. J Reprod Med 37 9 (1992) 799-802
23. Monk A., Pushkin S.F., Nelson A.L., and Gunning J.E. Conservative management of options for patients with dysplasia involving endocervical margins of cervical cone biopsy specimens. Am J Obstet Gynecol 174 6 (1996) 1695-1699
24. Andersen E.S., Nielsen K., and Pedersen B. Combination laser conization as treatment of microinvasive carcinoma of the uterine cervix. Eur J Gynaecol Oncol 19 4 (1998) 352-355
25. Burghardt E., Ostor A., and Fox H. The new FIGO definition of cervical cancer stage IA: a critique. Gynecol Oncol 65 1 (1997) 1-5