RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Jr., Robert M.
A1 Pawlik, Timothy M.
A1 Vaccaro, Patrick S.
A1 Bitans, Marita
A1 Baker, Anthony S.
SR Print(0)
ID 1187822843
T1 Diagnostic Techniques for Cervical Lesions and Dilatation and Curettage
T2 Zollinger’s Atlas of Surgical Operations, 11e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781260440850
LK accesssurgery.mhmedical.com/content.aspx?aid=1187822843
RD 2023/05/30
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.