The Review of Cervical Conization For Twelve Years.

Park, Jee Hyun; Park, Ki Jeong; Park, Hee Jeong; Han, Mi Young; Heo, In Jeong; Kim, Jung Hye

Obstet Gynecol Sci > Volume 48(5); 2005 > Article

Original Article

Korean Journal of Obstetrics & Gynecology 2005;48(5):1313-1323.
Published online: May 1, 2005

The Review of Cervical Conization For Twelve Years.

Jee Hyun Park, Ki Jeong Park, Hee Jeong Park, Mi Young Han, In Jeong Heo, Jung Hye Kim

Department of Obstetrics and Gynecology, Ilsin Christian Hospital, Pusan, Korea. air9000@hanmail.net

Abstract

OBJECTIVE
The purpose of this study is to evaluate the role of cold knife conization in the diagnosis and management of cervical neoplasia. METHODS: Cold knife conization was performed in total 163 patients from January 1992 to December 2003. The results of PAP smear and colposcopy-directed biopsy were compared with the pathologic diagnosis of conization. And we evaluated the rate of positive margin and the presence of residual lesion. And then, we reviewed the pregnancy outcome after conization. RESULTS: The rate of agreement between PAP cytology and conization was 45.4%, and the rate of agreement between colposcopy-directed biopsy and conization was 65.6%. Hysterectomy was done in 102 patients (62.6%). The positive rate of resection margin was 19.6%. The incidence of residual lesion after conization was 31.2% in margin (+) and 1.4% in margin (-). We evaluated 7 cases of pregnancy after conization. CONCLUSION: Cervical conization as surgical treatment was effective in cervical neoplasia patients, especially young patients, with continuous follow-up.

Keywords: Cold knife conization; Cervical neoplasia