Experience with colposcopy and conization

ABSTRACT

110 cervical conizations were performed on patients from the University Hospital and the Jamaica Cancer Society following coloscopic biopsies. In the group of CIN III lesions (carcinoma-in-situ) the diagnostic accuracy of the biopsies was 92 percent compared to the cone biopsy diagnosis. The cone specimens revealed 2 cases of microinvasive, one case of frank invasion and 4 cases of "chronic cervicitis with moderate dyplasia (CIN II)" not recognized at colposcopy. The conization was reported as therapeutic in 71 cases (80.7 percent). Of those cases described as less than adequate total abdominal hysterectomy was performed on three patients the histology on the specimens showed 1 case of persistent carcinoma-in-situ and no residual disease in the other two. In our clinics the colposcopic procedure has a diagnostic accuracy of 92 percent and cone biopsy of the cervix has proved a useful adjunct in selected cases in the management of intraepithelial lesions of the cervix. (AU)