title: [The role of hysterectomy in management of cervical precancer lesions].
abstract: OBJECTIVE
  To conclude conditions, indications and principles of performance of hysterectomy for cervical precancer lesions.
  
  
  METHODS
  Review article.
  
  
  METHODS
  Oncogynecological center, Department of Gynecology and Obstetrics, General Faculty Hospital and 1st Medical School of Charles University, Prague.
  
  
  RESULTS
  Hysterectomy is considered as "gold standard" only in management of glandular precancer lesions. Decision making about hysterectomy in other cases must respect some negative effects of hysterectomy on the one hand and high therapeutical efficacy of conservative surgical procedures and comparable incidence of vaginal and cervical invasive cancers in radically or conservativelly managed women on the other hand.
  
  
  CONCLUSIONS
  Indications for hysterectomy in cervical precancer lesions should be strictly individualised and limited to patients without reproductive desire and to patients in which "occult" invasive cancer is excluded.
authors.affiliation: Onkogynekologické centrum, Gynekologicko-porodnická klinika VFN a 1. LF UK, Praha. jiri.slama@vfn.cz
authors.forename: J
authors.initials: J
authors.lastname: Sláma
mesh_terms: D002278:Carcinoma in Situ / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D011230:Precancerous Conditions / Q000601:surgery*; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control / Q000601:surgery*; D002578:Uterine Cervical Dysplasia / Q000601:surgery