Diagnostic Conization of the Cervix

Cone Biopsy of the Cervix

“…A specimen smaller than the conization specimen is not acceptable unless that small specimen did show invasive carcinoma; and (2) a punch biopsy diagnosis of the cervix revealing intra-epithelial carcinoma. Here conization has to be done to be certain that beyond the reach of the punch biopsy there does not exist an area of invasive carcinoma (Schulman, I959 ; Ferguson and Demick, 1960).…”

CARCINOMA IN SITU OF THE CERVIX UTERI

“…The incidence of residual disease in hysterectomy specimens after cone biopsy varies between 10 and 36 per cent (Huey et al, 1954;Peightal et al, 1955;Scott and Reagan, 1956;Ferguson and Dewick, 1960;and Schiffer et al, 1965). These figures are higher than those observed for conservatively managed disease, but emphasize even more the need for careful follow-up.…”

Problems of Cervical Biopsy

“…The stabilizing instrument should be placed outside of the area to be removed and even tissue forceps should not touch the squamous or columnar epithelial surface. (6) The cone specimen should contain, if possible, all of the unstained areas on the portio and about 1.5 cm. of the endocervical canal.…”