[Value of extemporaneous pathology sections in cone biopsies].
OBJECTIVE
To assess the usefulness of frozen sections in cone biopsies.


METHODS
Retrospective study of 60 cases: 26 without frozen section, from January 1985 to December 1988 (group 1); 34 with frozen section of the endocervical upper part of the cone, from January 1989 to December 1992 (group 2).


RESULTS
The average height of the cone was 1.48 cm in group 2, and 2.23 cm in group 1. The cone margins were free of disease in 100% of cases in groupe 2, and in 88.5% in group 1. The rate of secondary hemorrage was 2.9%, compared with of 7.6% in group 1.


CONCLUSIONS
Frozen section of endocervical upper part of the cone allows more economic excisions of healthy tissues as well as suppression of cases with involved cone margins. With technical improvement of electro-surgical units, we changed since 1992 from cold knife conization to large loop excision of the transformation zone, in association with frozen sections.
Weyl
B
B
Service de Gynécologie-Obtétrique, Centre Hospitalier, Saint-Malo.
Darazi
N
N
Le Pors-Lemoine
P
P
Forest
E
E
D000328:Adult; D019092:Conization / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D015925:Cryopreservation / Q000379:methods*; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007432:Intraoperative Period; D008875:Middle Aged; D015203:Reproducibility of Results; D012189:Retrospective Studies; D002578:Uterine Cervical Dysplasia / Q000473:pathology*