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Difference between revisions of "Uterine cervix"
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==Cervical specimens== | ==Cervical specimens== | ||
Cytology | ===Cytology=== | ||
* Pap test - see ''[[gynecologic cytopathology]]''. | * Pap test - see ''[[gynecologic cytopathology]]''. | ||
===Biopsies=== | |||
The types of biopsies that are done are: | The types of biopsies that are done are: | ||
# Cervical biopsies - prompted by abnormal Pap test, e.g. [[HSIL]], to look for [[squamous cell carcinoma of the uterine cervix]]. | # Cervical biopsies - prompted by abnormal Pap test, e.g. [[HSIL]], to look for [[squamous cell carcinoma of the uterine cervix]]. | ||
# Endocervical curettage (ECC) - to work-up columnar dysplasia, e.g. [[endocervical adenocarcinoma]]/[[endometrial adenocarcinoma]]. | # Endocervical curettage (ECC) - to work-up columnar dysplasia, e.g. [[endocervical adenocarcinoma]]/[[endometrial adenocarcinoma]]. | ||
Surgical specimens | ===Surgical specimens=== | ||
# [[Loop electrosurgical excision procedure]] (LEEP). | # [[Loop electrosurgical excision procedure]] (LEEP). | ||
# Radical trachelectomy - removal of the uterine cervix and parametria, preserves fertility. | # Radical trachelectomy - removal of the uterine cervix and parametria, preserves fertility. | ||
# Radical hysterectomy - advanced cervical carcinoma (Stage IA2 and Stage IB1), recurrent carcinoma.<ref name=pmid20871657>{{Cite journal | last1 = Ware | first1 = RA. | last2 = van Nagell | first2 = JR. | title = Radical hysterectomy with pelvic lymphadenectomy: indications, technique, and complications. | journal = Obstet Gynecol Int | volume = 2010 | issue = | pages = | month = | year = 2010 | doi = 10.1155/2010/587610 | PMID = 20871657 }}</ref> | # Radical hysterectomy - advanced cervical carcinoma (Stage IA2 and Stage IB1), recurrent carcinoma.<ref name=pmid20871657>{{Cite journal | last1 = Ware | first1 = RA. | last2 = van Nagell | first2 = JR. | title = Radical hysterectomy with pelvic lymphadenectomy: indications, technique, and complications. | journal = Obstet Gynecol Int | volume = 2010 | issue = | pages = | month = | year = 2010 | doi = 10.1155/2010/587610 | PMID = 20871657 }}</ref> | ||
Other | ===Other=== | ||
*Total abdominal hysterectomy - for non-cervical pathology, e.g. [[uterine leiomyoma]]s, [[uterine adenomyosis]]. | *Total abdominal hysterectomy - for non-cervical pathology, e.g. [[uterine leiomyoma]]s, [[uterine adenomyosis]]. | ||
*Radical hysterectomy - for [[endometrial carcinoma]] with endocervical involvement. | *Radical hysterectomy - for [[endometrial carcinoma]] with endocervical involvement. | ||