CONSERVATIVE CONIZATION FOR MICROINVASIVE CARCINOMA OF THE CERVIX

OBJECTIVE: Our purpose was to examine conservative conization as treat ment for microinvasive carcinoma of the cervix with depth of invasion <3 mm. STUDY DESIGN: Twelve patients with microinvasive carcinoma of t he cervix underwent cervical conization under colposcopic guidance fol lowed by careful observation. RESULTS: The 12 patients were alive with out evidence of disease after a mean follow-up of 6.7 years. Four preg nancies with term deliveries were identified. CONCLUSION: Microinvasiv e carcinoma with a depth of invasion <3 mm without confluent invasion or lymph vascular involvement can be treated successfully with conserv ative conization and provided a good pregnancy outcome.