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Surgical management of early invasive cervical carcinoma
Rakar, Stelio ; Eržen, Mojca
The treatment of early invasive cervical carcinoma (stage IA) should be based on the evaluation of prognostic factors in order to avoid overtreament as wellas undertreatment. A conservative surgical ...treatment was adopted in 1981, when a scoring system, based on the evaluation of morphological criteria (celltype, mitotic activity,, type of invasion - buds, drops, confluent type, intensity of immunological defence reaction, capillary-like space invasion, depth of invasion), was introduced. Thus, nowadays the majority of cases are treated with conization, but the diagnosis of microinvasion should be confirmed by properly sectioned cervical cone.
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