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Laser conization for microinvasive carcinoma of the cervix. Short-term results
  1. E. S. ANDERSEN*,
  2. M. HUSTH*,
  3. A. JOERGENSEN and
  1. *Departments of Obstetrics and Gynecology
  2. Department of Pathology, Aalborg Hospital, Section North, DK-9100 Aalborg, Denmark
  1. Address for correspondence: Erik Soegaard Andersen, Department of Gynecologic Oncology, The Norwegian Radium Hospital, Montebello, N-0310 Oslo, Norway.


Thirty-one patients with microinvasive carcinoma of the uterine cervix (less than 3.0 mm invasion, no lymph vascular involvement), were treated with combination laser conization. The mean follow-up period was 36 months. No cases of invasive disease have been diagnosed during follow-up. Examination during follow-up revealed atypical columnar epithelium in one case, but the hysterectomy specimen was normal. Based on these short-term results, combination laser conization for microinvasive carcinoma of the cervix seemed a sufficient therapy. A precise and careful histopathologic evaluation, and the patient acceptance of a strict follow-up schedule are mandatory to a decision to employ conservative management of microinvasive cervical carcinoma. Only long-term follow-up in patients treated by conservative therapy will be able to finally justify this approach.

  • cervical cancer
  • laser conization
  • microinvasion

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