A Study of Residual Lesion after Conization in Patients with Carcinoma in Situ of Uterine Cervix

子宮頸原位癌錐狀切除術後殘留病灶之研究

李家琨(C. K. Lee) ； 師明哲(M. T. Shih) ； 黃慶菖(C. C. Huang) ； 顏兆熊(J. S. Yan)

《Journal of Medical Sciences》 3卷2期 (1979/07) Pp. 837-842

摘要

本報告包括經過組織切片檢查證實的子宮頸原位癌患者共152人。病人之平均年齡為44.4歲；平均胎次為4.2。共有123個患者接受了錐狀切除術。在錐狀切除的標本中，有13例未發現腫瘤，8個病例為早期侵犯性之癌性，剩下的102例經證實為原位癌。經錐狀切除證實為原位癌之患者中，有99人再接受子宮切除術。在這些切除的子宮，有73例未發現殘留的腫瘤（佔73.7%）；23例有殘留的原立癌，另有3例為早期侵犯性之癌症。殘留病灶共佔26.3%。另一位原位癌患者接受子宮切除後，於陰道底部復發原位癌。根據上述資料，年輕原位癌患者，仍不宜以錐狀切除術作保守治療。

並列摘要

A series of 152 cases of histologically proved carcinoma in situ of uterine cervix is presented. The mean age of the patients was 44.4 years old and the mean parity was 4.2. Total hysterectomy without conization was performed in 29 cases. Conization was performed in 123 cases of which all but three were followed by hysterectomy. Of the 123 coned specimens, 13 showed no evidence of having tumor, 8 showed microinvasive carcinoma; and the remaining 102 were identified as carcinoma in situ. In the 99 cases of conization-proved carcinoma in situ that underwent hysterectomy, the excised uteri were free from residual tumor in 73 cases (73.3%). Twenty three cases were found to have residual carcinoma in situ and 3 cases microinvasive carcinoma. The appearance of residual lesion after conizaiton was found in 26.3% of the total cases. From this study, it is conclused that conization alone is inadequate for the treatment of carcinoma in situ.