A review of women with microinvasive cervical cancer in the Grampian region.
OBJECTIVE
To review the diagnosis and treatment of women with microinvasive cervical cancer within a geographically defined population.


METHODS
A retrospective review of cervical cancer in the Grampian region identified 64 women diagnosed with microinvasive cervical cancer since 1991.


RESULTS
All of the women were referred with an abnormal smear, with invasion suspected on cytology in 12.5% of cases. With the addition of colposcopy, suspicion of invasion was noted in 23.5%. Most women (72%) were managed with conservative excision treatment of the cervix (large loop excision of the transformation zone or cone biopsy).


CONCLUSIONS
Long-term follow-up is vital, because 5 cases of cervical intraepithelial neoplasia and 1 recurrent cancer were detected up to 58 months after diagnosis.
Cairns
Mary
M
Department of Obstetrics and Gynaecology, Aberdeen Royal Infirmary, Scotland, UK. marycairns@nhs.net
Cruickshank
Margaret
M
D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000601:surgery; D003127:Colposcopy; D005260:Female; D006801:Humans; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D012189:Retrospective Studies; D012606:Scotland; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000601:surgery