Will cervical carcinoma in situ recur after conization?

Aug 29, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Cone biopsy usually refers to cervical conization surgery. Whether cervical carcinoma in situ will recur after cervical conization depends on factors such as the extent of surgical resection and the patient's physical condition. It is recommended that patients promptly go to the hospital and follow medical advice for treatment. After surgery, patients should pay attention to personal hygiene and engage in appropriate physical activity.

Cervical conization generally refers to a surgical procedure known as cervical cone biopsy. Whether cervical carcinoma in situ will recur after conization depends on several factors, including the extent of surgical removal and the patient's physical condition. It is recommended that patients promptly visit a hospital and follow medical advice for appropriate treatment. The analysis is as follows:

1. For patients with cervical carcinoma in situ undergoing cervical conization, recurrence is unlikely if all abnormal cells are completely removed during surgery.

When cervical carcinoma in situ is diagnosed early and treated promptly without spreading into deeper tissues, and when the conization procedure successfully removes all abnormal tissue—with pathological examination confirming clear margins (no residual disease)—the likelihood of recurrence is low. Additionally, if the patient has good overall health and recovers quickly after surgery, recurrence is generally unlikely.

2. Recurrence may occur if the diseased tissue is not entirely eliminated during surgery.

Certain high-risk types of HPV virus are closely associated with the development of cervical carcinoma in situ. If the patient continues to harbor these high-risk HPV strains, there remains a risk of recurrence even after conization. Moreover, if the surgery fails to completely remove all affected tissue, or if the patient has poor physical health and slow recovery, the chance of recurrence increases.

After surgery, maintaining good personal hygiene and engaging in moderate exercise can help strengthen the immune system and reduce the risk of recurrence.

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