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From the Department of Obstetrics and Gynecology, State University of New York Downstate Medical Center and Kings County Hospital, Brooklyn, NY.
Abstract
Routine cytologic screening of the cervix of all women in the hospital and cervical biopsy daring curettage for incomplete abortion were responsible for finding 85% of the 409 in-situ carcinomas. More than half of the group were treated successfully by means of modified radical hysterectomy, but 35% of the excised uteri showed residual in-situ cancer. Sixty untreated patients were observed closely for at least 2 years; only 2 of these women required treatment for invasive carcinoma, which was detected through follow-up cytologic studies and confirmed by cone biopsy.
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