Author/Editor		Rakar, S; Eržen, M
Title		Conservative surgical management of early stage cervical cancer
Type		članek
Source		In: Testa R, Jakob CA, Huguet JO, editors. 10th world congress of cervical pathology and colposcopy; 1999 Nov 7-11; Buenos Aires, Argentina. Bologna: Monduzzi editore,
Publication year		1999
Volume		str. 31-7
Language		eng
Abstract		A conservative surgical approach for stage IA cervical carcinoma was adopted in 1981, when a scoring system based on the evaluation of morphological criteria was introduced in our Department. Results with the different treatment modalities of 237 cervical carcinomas at stage IA operated in our Department during 1981 to 1997, are presented. In the first eight-year period (1981-88), 36.1% of cases were treated by conization, 33.7% by simple- and 30.2% by radical hysterectomy. In the most recent observation period (1993-1997), conization was performed in 65a% of the cases, simple hysterectomy in 27.5%, hysterectomy with pelvic lymphadenectomy in 7.5%. There were no cases with indications for radical hysterectomy. Our experience indicates that conservative management of stage IA cervical cancer is indicated and safe when exact evaluation of tumor extension and surgical margins of the cone are assured.
Descriptors		CERVIX NEOPLASMS NEOPLASM STAGING CONIZATION HYSTERECTOMY TREATMENT OUTCOME