Evaluation of hysterectomies after cervical conization with positive surgical margins: a review of 252 cases

Year 2016, Volume: 47 Issue: 2, 35 - 38, 23.01.2016

Selcuk Ayas , Nermin Koc , Sevcan Arzu Arınkan , Lutfiye Uygur

Abstract

Aim: To evaluate final pathological results of hysterectomies which were done after the finding of positive cervical conization margin.

Methods and Material: Thirty-five patients underwent hysterectomy after cervical conization revealing positive surgical margins among 252 patients who had undergone cervical conization between 2005 and 2013 were included in this study.

Results: Mean age of the patients were 38,79 ± 8,82. Hysterectomies were performed in 1,57 ± 1,24 months following conization. Dysplasia was revealed in only 9 hysterectomy specimens (9/35), 6 High grade CIN, 3 Low grade CIN.

Conclusion: A careful follow-up can be a good alternative to post-cone hysterectomy or reconization decision after the finding of positive cervical conization margin.

 

 

Keywords

Conization; Cervical intra-epithelial neoplasia; Hysterectomy; Positive surgical margin

Servikal konizasyon sonrası cerrahi sınır pozitifliği olan ve histerektomi yapılan 252 olgunun değerlendirilmesi

Abstract

Amaç: Konizasyon sonrası cerrahi sınır pozitif gelen ve histerektomi yapılan olguların patoloji sonuçlarının değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntem: 2005-2013 yılları arasında hastanemizde servikal konizasyon yapılan (252) olgulardan cerrahi sınır pozitifliği olan ve histerektomi yapılan 35 olgunun patoloji sonuçları  değerlendirilmiştir.

Bulgular: Hastaların ortalama yaşı 38,79 ± 8,82 yıldır. Konizasyondan ortalama 1,57 ± 1,24 ay sonra histerektomi yapılmıştır. Histerektomi materyallerinin 9’unda displazi (9/35), 6’sında CIN2-3, 3’ünde ise CIN1 saptanmıştır.

Sonuç: Konizasyon sonrası cerrahi sınır pozitifliği olan olgularda, yakın izlem reonizasyon veya histerektomiye alternative olarak uygulanabilir.

Keywords

Konizasyon, Servikal intraepitelyal neoplazi, Histerektomi, Pozitif cerrahi sınır

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