title: [Therapeutic procedure in prospective cytodiagnosis].
abstract: If the prospective cytology speaks for an intraepithelial atypia, it is possible, due to an extended gynecologic indication, (descensus uterus myomatosus, etc.) to make a primary hysterectomy, avoiding a conisation. As well the complication of the conisation and the eventually following hysterectomy, as as second hospitalisation will thus be avoided. Only twice in 101 cases the cytologic prospective statement of pre-invasion could not be confirmed. These were cases of microinvasion in the sense of a "reticular infiltration". We made no further error "upwards". This proceeding for the diagnosis and therapy of early alterations at the portio uteri can only be carried out in clinics with gynecologically-clinically experienced cytologists. The clearing by conisation of cytologically not definite findings continues to remain the leading principle.
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D011230:Precancerous Conditions / Q000175:diagnosis / Q000601:surgery*; D011446:Prospective Studies; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000601:surgery*; D014626:Vaginal Smears
vernacular_title: Zum therapeutischen Vorgehen bei prospektiver Zytodiagnostik