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After a bad cytology, they took samples for hp tests from the HP cin III results and papering the glandular tubes with cancerous epithelium. After oncological consultations, I was referred for cervical conization. The result after conization is Cervictis chronica - A [M-43000] Cacinoma planoepitheliale in situ. Taping of deep glandular tubules with tumor epithelium [m-8070/3] BC two fragments of A- I fr. flat about 1.2 cm II fr. about 2 cm B - from the mouth of C - the rest of the neck. Nothing is mentioned about the cut line whether it is clean. I am asking for the interpretation of the result, as the doctor wants to refer me to complete removal of the uterus. Is it necessary? I'm only 28 years old. A gynecologist from Katowice said that the complete removal of the uterus is not necessary, and will only lead to the loss of the bladder, which is very low anyway.

The surgical incision line is very important and should be included in the HP examination. In the case of ca colli uteri praeinvasivum at your age, there is no indication for the removal of the uterus, but only for the conization of the cervix and curettage of the remaining cervical canal. Even in the case of invasive cervical cancers, it is possible to perform so-called sparing surgery. trachelectomy with laparoscopic lymphadenectomy.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Dr. Piotr Kolczewski

In 2010-2014, the head of the Gynecology and Obstetrics Ward at the 109 Military Hospital in Szczecin. Currently, he works at the Department of Surgical and Oncological Gynecology of the Pomeranian Medical University in Szczecin and is a consultant at a private surgery center, Artmedical Center in Szczecin. For over 20 years he has been dealing with surgical treatment in the field of broadly understood surgical gynecology - pelvic floor reconstructive surgery, urogynecology, oncological gynecology and plastic gynecology. He is a member of international scientific societies thematically related to reconstructive and plastic surgeries in gynecology and urogynecology (International Uroginecological Association, International Continence Society, Polish Society of Plastic Gynecology).

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