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|Title:||Selective cervical conization following colposcopy: A critical evaluation of 107 cases|
|Citation:||Singh, P., Pang, M., Ratnam, S.S. (1985). Selective cervical conization following colposcopy: A critical evaluation of 107 cases. Singapore Medical Journal 26 (3) : 289-294. ScholarBank@NUS Repository.|
|Abstract:||We performed selective conization for diagnosis and therapy following colposcopy in 107 women with abnormal smears; all except 2 had cervical neoplasia confirmed which was cervical intraepithelial neoplasia (CIN) 96, microinvasion 6 and invasive cancer 3. One of 3 with cone margins involved and no further treatment had residual carcinoma-in-situ. Complications encountered were haemorrhage (2.8%) and cervical stenosis (0.9%) but none in 3 who became pregnant. Follow-up was over 1 to 4 years with at least 2 post-conization smears in all patients and revealed persistent CIN in 2 patients but no case of invasive cancer. With selective conization cervical neoplasia is histologically verified in a very high proportion (98.1%), diagnostic conizations minimized, the procedure-associated morbidity low and the risk of undertreatment which exists with destructive methods is obviated.|
|Source Title:||Singapore Medical Journal|
|Appears in Collections:||Staff Publications|
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