Korean J Obstet Gynecol.  2005 May;48(5):1313-1323.

The Review of Cervical Conization For Twelve Years

• Park JH
• Park KJ
• Park HJ
• Han MY
• Heo IJ
• Kim JH

Abstract

OBJECTIVE
The purpose of this study is to evaluate the role of cold knife conization in the diagnosis and management of cervical neoplasia.
METHODS
Cold knife conization was performed in total 163 patients from January 1992 to December 2003. The results of PAP smear and colposcopy-directed biopsy were compared with the pathologic diagnosis of conization. And we evaluated the rate of positive margin and the presence of residual lesion. And then, we reviewed the pregnancy outcome after conization.
RESULTS
The rate of agreement between PAP cytology and conization was 45.4%, and the rate of agreement between colposcopy-directed biopsy and conization was 65.6%. Hysterectomy was done in 102 patients (62.6%). The positive rate of resection margin was 19.6%. The incidence of residual lesion after conization was 31.2% in margin (+) and 1.4% in margin (-). We evaluated 7 cases of pregnancy after conization.
CONCLUSION
Cervical conization as surgical treatment was effective in cervical neoplasia patients, especially young patients, with continuous follow-up.

Keyword

Cold knife conization; Cervical neoplasia

MeSH Terms

Biopsy
Conization*
Diagnosis
Female
Follow-Up Studies
Humans
Hysterectomy
Incidence
Pregnancy
Pregnancy Outcome