Preinvasive and invasive carcinoma of cervix uteri
| Autor: | Edgar R. Pund, H. E. Nieburgs, J.D. Caldwell, J.B. Nettles |
|---|---|
| Rok vydání: | 1948 |
| Předmět: |
Pathology
medicine.medical_specialty Hysterectomy medicine.diagnostic_test business.industry medicine.medical_treatment Obstetrics and Gynecology medicine.disease medicine.anatomical_structure Biopsy Carcinoma Medicine Stage (cooking) Differential diagnosis business Cervix Uterine Neoplasm Endocervix |
| Zdroj: | American Journal of Obstetrics and Gynecology. 55:831-837 |
| ISSN: | 0002-9378 |
| DOI: | 10.1016/0002-9378(48)90009-x |
| Popis: | The majority of squamous cell carcinomas of the cervix arise within the endocervical canal at or near the external os, therefore biopsies should include this area. Cervical squamous cell carcinomas may be classified into three groups; preinvasive, covert invasive, and overt invasive cancer. Each group represents a stage of development over a period which averages eleven years. Preinvasive carcinomas, the incipient cancers, are asymptomatic and can only be detected by microscopic examination. Preinvasive carcinomas have been detected by examination of vaginal and cervical smears followed by microscopic examination of biopsies and endocervical curettings. It is necessary to differentiate preinvasive carcinomas from covert invasive carcinomas. The presence of a covert invasive carcinoma may not be anticipated and therefore a biopsy of the cervix and curettement of the endocervix should be a routine procedure before subtotal or total hysterectomy. Total hysterectomy is recommended for proved preinvasive carcinomas, and ovariectomy is not necessarily indicated. |
| Databáze: | OpenAIRE |
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