Invasive adenocarcinoma of the cervix following LLETZ (large loop excision of the transformation zone) for adenocarcinoma in situ.

Abstract:

:Adenocarcinoma in situ (AIS) of the cervix is a controversial entity which is being encountered with increasing frequency. Current critical issues in its management are the safety of uterine preservation in younger patients and the use of LLETZ conization. A 28-year-old patient was diagnosed with AIS and managed with LLETZ. Despite apparently negative margins of resection in the initial conizations, the patient was found to have invasive adenocarcinoma 1 year later. It is concluded, after review of the pathologic features of AIS, that if conservative management of AIS is elected, then standard cold knife conization should be performed and not LLETZ. Further study is required to establish the overall safety of conservative treatment of cervical AIS, including the use of LLETZ.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Kennedy AW,elTabbakh GH,Biscotti CV,Wirth S

doi

10.1006/gyno.1995.1226

subject

Has Abstract

pub_date

1995-08-01 00:00:00

pages

274-7

issue

2

eissn

0090-8258

issn

1095-6859

pii

S0090-8258(85)71226-7

journal_volume

58

pub_type

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