TY  - CHAP
M1  - Book, Section
TI  - Diagnostic Techniques for Cervical Lesions and Dilatation and Curettage
A1  - Ellison, E. Christopher
A1  - Zollinger, Jr., Robert M.
A1  - Pawlik, Timothy M.
A1  - Vaccaro, Patrick S.
A1  - Bitans, Marita
A1  - Baker, Anthony S.
PY  - 2022
T2  - Zollinger’s Atlas of Surgical Operations, 11e
AB  - Cervical  conization  is  indicated  for  suspicious  lesions  of  the  uterine  cervix  to  confirm  or  exclude  the  diagnosis  of  cervical  cancer.  It  is  also  a  therapeutic  procedure  for  preinvasive  lesions  of  the  cervix.  Certain  outpatient  procedures,  such  as  colposcopy,  usually  precede  conization  and  are  useful  in  the  investigation  of  cervical  lesions  and/or  an  abnormal  Pap  smear.  A  grossly  apparent  lesion  that  is  suspicious  for  neoplasia  should  be  biopsied  regardless  of  Pap  smear  results.  A  punch  biopsy  is  the  usual  approach  in  this  situation  (FIGURE  1).  After  exposure  of  the  cervix,  the  punch  biopsy  forceps  is  introduced,  and  a  piece  of  cervical  tissue  is  removed  with  inclusion  of  a  small  bite  of  surrounding  healthy  tissue.  Alternatively,  many  surgeons  now  stain  the  cervix  with  acetic  acid  and  perform  the  biopsies  with  colposcopic  guidance.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/20
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1187822843
ER  -