Akusherstvo i ginekologiia · 2010
[The role of target biopsy in diagnosis of precancer and cancer diseases of uterine cervix].
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Hinkova N, Tsvetkov Ch, Tanchev L, Strateva D, Gorchev G
Аннотация
AIM AND GOALS: Our aim in this article is to show the role of target biopsy in diagnosis of precancer and cancer diseases of uterine cervix.
MATERIALS AND METHODS: We made a retrospective study for the period 30.08.2007 to 30.12.2008 in clinic of Oncogynecology, oncologic center to University Hospital of Pleven. We included 51 patients with inflammatory, dysplastic and microinvasive changes of uterine cervix. They all passed through a biopsy before the operation and followed by conization. There is a correspondence in 38 patients and in 13 patients no such correspondence is found between the histological results before the operation and permanent histological result of the conization.
CONCLUSION: There is a big possibility in target biopsy not to get into a place of cervix with the most serious changes or there is no such in it because of the small volume of the material that is sent for examination. The positive results in diagnosis and treatment of precancer and cancer disease of uterine cervix require combination between PAP test colposcopy target biopsy and conisation.
MATERIALS AND METHODS: We made a retrospective study for the period 30.08.2007 to 30.12.2008 in clinic of Oncogynecology, oncologic center to University Hospital of Pleven. We included 51 patients with inflammatory, dysplastic and microinvasive changes of uterine cervix. They all passed through a biopsy before the operation and followed by conization. There is a correspondence in 38 patients and in 13 patients no such correspondence is found between the histological results before the operation and permanent histological result of the conization.
CONCLUSION: There is a big possibility in target biopsy not to get into a place of cervix with the most serious changes or there is no such in it because of the small volume of the material that is sent for examination. The positive results in diagnosis and treatment of precancer and cancer disease of uterine cervix require combination between PAP test colposcopy target biopsy and conisation.