[The evaluation of uterine endocervical lesions by cervicoscopy of lateral view type (clinical advantages for reduction of traditional surgical management of uterine cervical cancer)].

In this study an attempt was made to examine uterine endocervix by contact pan-endomicroscopy of the lateral view type (we call it cervicoscopy). Its clinical advantages are also investigated. 127 cases of uterine cervical neoplasms (including CIN) were examined to detect whether or not neoplastic foci existed in the cervical canal. It was found that vascular morphological configurations could be clearly observed. These findings are classified into several categories according to their morphological characteristics. It was found that there are many green asparagus-like vessels and/or root-like vessels in invasive foci but few in CIN foci. 56% of CIN foci, and 90% of advanced foci of endocervix were accurately diagnosed from the abnormal vascular findings. On the basis of what is described above, we examined the endocervical lesions from 40 conization candidates. 19 cases (48%) of the candidates were omitted because of negative advanced findings which were confirmed histopathologically afterwards. It suggested that a reduction in the number of conization candidates will be made possible with this new clinical examination.