Age and prevalence of cervical carcinoma in subsequent hysterectomy following a conization procedure.
OBJECTIVE
To determine the prevalence and age of patients with cervical carcinoma missed by a loop electrosurgical excision procedure.


METHODS
A total of 253 women with cervical dysplasia who underwent conization and 248 women who later underwent hysterectomy were retrospectively reviewed. The age and prevalence of those with cervical carcinoma diagnosed and missed by conization were determined.


RESULTS
Of the 248 patients, 11 cases (4.4%) of cervical carcinoma were missed by cervical conization. The age of those with cervical carcinoma missed by conization was significantly greater than those whose diagnosis was not missed (p < 0.05).


CONCLUSIONS
Women with severe cervical dysplasia who no longer wish to preserve fertility should be advised to undergo hysterectomy if the conization margins are not free of disease. Older women with incomplete resection margins tend to have undiagnosed hidden cervical carcinoma after cervical conization.
Department of Obstetrics and Gynecology, Chia-Yi Chang Gung Memorial Hospital, Chia-Yi, Taiwan.
Ting-Hung
TH
Wun
Will Wei-Cheng
WW
Chiu
Chen-Bin
CB
Wang
Ching-Cheng
CC
Tseng
Chun-Hung
CH
Chen
Yu-Hsiang
YH
Lin
Chung-Yuan
CY
Lee
Ying-Lun
YL
Sun
Chih-Jen
CJ
Tseng
D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D019092:Conization; D003951:Diagnostic Errors / Q000517:prevention & control; D004598:Electrosurgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D018365:Neoplasm, Residual / Q000453:epidemiology / Q000473:pathology / Q000601:surgery; D015995:Prevalence; D012189:Retrospective Studies; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology / Q000473:pathology / Q000601:surgery; D055815:Young Adult