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From the Department of Obstetrics and Gynecology, Division of Biological Sciences and the Pritzker School of Medicine, the University of Chicago and the Chicago Lying-in Hospital
Abstract
One hundred forty-seven patients who had abnormal cervical cytologic smears (Class 3 or 4), and in whom diagnostic conization was not indicated according to strict criteria, underwent colposcopically-guided biopsies of the cervix, and 4-16 weeks later had a cone biopsy or hysterectomy. In only 4 patients (3%) was a significantly more advanced lesion found in the cone or hysterectomy specimen than in the colposcopic biopsy specimen, and in only one of these was carcinoma in situ present. In no patient, either on colposcopic biopsy or in the later specimens, was invasive carcinoma found.
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J. L. Benedet, J. P. Matisic, and M. A. Bertrand The Quality of Community Colposcopic Practice Obstet. Gynecol., January 1, 2004; 103(1): 92 - 100. [Abstract] [Full Text] [PDF] |
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