円錐切除、円錐切除術
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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2012/10/10 09:37:51」(JST)
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Cervical conization |
Intervention |
ICD-9-CM |
67.2 |
Cervical conization (CPT codes 57520(Cold Knife) and 57522(Loop Excision)) refers to a biopsy of the cervix in which a cone-shaped sample of tissue is removed from the mucous membrane. Conization may be used either for diagnostic purposes, or for therapeutic purposes to remove pre-cancerous cells.[1]
Types include:
- cold knife conization[2] (CKC). Usually outpatient.
- loop electrical excision procedure (LEEP). Usually outpatient, occasionally inpatient.
Conization of the cervix is a common treatment for dysplasia following abnormal results from a pap smear.
Side effects
Side effects of the treatment may include cervical stenosis with a resulting severe endometriosis. This procedure may increase the risk of incompetent cervix.
See also
References
- ^ "Conization of Cervix: eMedicine Obstetrics and Gynecology". http://emedicine.medscape.com/article/270156-overview. Retrieved 2010-01-03.
- ^ Arbyn M, Kyrgiou M, Simoens C, et al. (2008). "Perinatal mortality and other severe adverse pregnancy outcomes associated with treatment of cervical intraepithelial neoplasia: meta-analysis". BMJ 337: a1284. PMC 2544379. PMID 18801868. http://bmj.com/cgi/pmidlookup?view=long&pmid=18801868.
Female genital surgical and other procedures (gynecological surgery) (ICD-9-CM V3 65–71, ICD-10-PCS 0U)
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Adnexa |
Ovary
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Oophorectomy · Salpingoophorectomy
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Fallopian tubes
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Falloposcopy · Salpingectomy · Tubal ligation · Essure · Tubal reversal
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Uterus |
general: Hysterectomy · Hysterotomy · Pelvic exenteration · Uterine artery embolization
uterine cavity: Hysteroscopy · Vacuum aspiration
endometrium: Endometrial biopsy · Endometrial ablation
myometrium: Uterine myomectomy
cervix: Colposcopy · Cervical conization (LEEP) · Cervical cerclage · Cervical screening (Pap test) · Cervicectomy
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Vagina |
Vaginectomy · Culdoscopy · Culdocentesis · Hymenotomy · Colpocleisis · Hymenorrhaphy · Vaginal wet mount
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Vulva |
Vulvectomy · Female genital mutilation · Labiaplasty
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Medical imaging |
Gynecologic ultrasonography · Hysterosalpingography
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noco/cong/npls, sysi/epon
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proc/asst, drug (G1/G2B/G3CD)
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Papillomavirus – Human papillomavirus
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Related
diseases |
Cervical cancer ·
Factor in other cancers (Anal, Vaginal, Vulvar, Penile, Head and neck cancer (HPV-positive oropharyngeal cancer)) ·
Warts (genital, plantar, flat, Laryngeal papillomatosis), Epidermodysplasia verruciformis, Focal epithelial hyperplasia, Papilloma
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Vaccine |
HPV vaccine (Cervarix, Gardasil)
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Screening |
Pap test (stain) - Cytopathology/Cytotechnology results Bethesda system
Experimental techniques (Speculoscopy, Cervicography)
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Colposcopy |
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Biopsy histology |
Cervical intraepithelial neoplasia (CIN) · Koilocyte · Vaginal intraepithelial neoplasia (VAIN) · Vulvar intraepithelial neoplasia (VIN)
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Treatment |
Cervical conization · Loop electrical excision procedure (LEEP)
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History |
Georgios Papanikolaou · Harald zur Hausen
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cutn/syst (hppv/hiva, infl/zost/zoon)/epon
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drug(dnaa, rnaa, rtva, vacc)
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UpToDate Contents
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English Journal
- Risk of invasive cervical cancer in relation to clinical investigation and treatment after abnormal cytology: A population-based case-control study.
- Silfverdal L, Kemetli L, Sparen P, Andrae B, Strander B, Ryd W, Dillner J, Tornberg S.SourceDepartment of Obstetrics and Gynaecology, Umea University Hospital, Umea, Sweden. lena.silfverdal@obgyn.umu.se.
- International journal of cancer. Journal international du cancer.Int J Cancer.2011 Sep 15;129(6):1450-8. doi: 10.1002/ijc.25749. Epub 2010 Dec 9.
- A substantial proportion of women with cervical cancer that have participated in cervical screening have a history of an abnormal cytology result. Our objective was to assess the impact of histological investigation and treatment of women with abnormal cytology on the subsequent risk of invasive cer
- PMID 21064110
- [Diagnosis and treatment of complicated deep infiltrated endometriosis: A case report and literature review].
- Jiang GQ, Gao YN, Gao M, Zheng H, Yan X, Wang W, An N, Cao K, Sun Y.SourceDepartment of Gynecologic Oncology, Peking University School of Oncology, Beijing Cancer Hospital & Institute, Beijing 100142, China.
- Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences.Beijing Da Xue Xue Bao.2011 Aug 18;43(4):603-7.
- OBJECTIVE: To explore diagnostic and therapeutic methods of patients with deep infiltrating endometriosis.METHODS: Clinical data of a case of complicated deep infiltrating endometriosis were analyzed retrospectively.RESULTS: A 39-year-old female patient with deep infiltrating endometriosis involving
- PMID 21844977
Japanese Journal
- 妊娠合併頸癌の治療と管理(<特集>妊娠合併婦人科癌の治療と管理)
- 子宮頸部上皮内腫瘍・頸がんの円錐切除外科断端陰性例におけるHuman Papillomavirus 検査の有用性
- 上地 秀昭
- Dokkyo journal of medical sciences 38(1), 25-31, 2011-03-25
- 近年若年女性の子宮頸部異形成や上皮内癌などの初期病変が増加傾向にあり,その治療として子宮頸部円錐切除術(円切)が施行されている.円切により子宮頸部浸潤癌の発生を減少させるが,再発した場合浸潤癌へ進展する危険性は高い.そのため治療後の再発を早期に発見することが求められる.今回,当院で円切を施行した226 例において,円切前後におけるhuman papillomavirus(HPV)感染と外科断端陰性 …
- NAID 110008427627
Related Links
- Cervical conization (also known as cone biopsy) refers to the excision of a cone-shaped portion of the cervix surrounding the endocervical canal and including the entire transformation zone. Excisional treatment can be performed ...
- 円錐切除術 Conization というのは、通常子宮頚部の前癌病変ないしは頸癌初期病変に対し行われる手術です。難治性のびらんに対して行われることもありますがまれで、まずは上記疾患に対して行われるものと考えて良いでしょう。
- Conization can be performed with a scalpel (cold-knife conization), laser, or electrosurgical loop. The latter is called the loop electrosurgical excision procedure (LEEP) or large loop excision of the transformation zone ...
Related Pictures
★リンクテーブル★
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- 英
- conization, cervical conization, cone biopsy,
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- 子宮腟部円錐切除術 conization of the cervix、シュツルムドルフ手術 Sturmdorf operation
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- conization
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- 円錐切除術
-conization
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- 英
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- 円錐切除
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子宮頚部円錐切除術