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Conization-- Cone biopsy; removal of a cone-shaped section of tissue from the cervix for diagnosis or treatment.
Moshe Kunze
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What is cervical conization?
Cervical conization is both a diagnostic and treatment tool used to detect and treat abnormalities of the cervix. It is also known as a cone biopsy or cold knife cone biopsy.
What is another name for cervical conization?
It is also known as a cone biopsy or cold knife cone biopsy.
What is the purpose of a cervical conizaiton?
Cervical conization is performed if the results of a cervical biopsy have found a precancerous condition in the cervix.
What is a laser procedure during a cone biopsy?
tissue may also be removed using a carbon dioxide laser (called laser conization).
What is a cold-knife procedure during a cone biopsy?
Cold-knife conization is the removal of a cone-shaped wedge of tissue with a scalpel (surgical knife).
What is a cone biopsy also known as?
Also called cervical conization, a cone biopsy is done to diagnose cervical cancer or to remove cancerous or precancerous tissue.
What percentage of women experience cervical stenosis following a cone biopsy?
One study found that cervical stenosis occurs at a rate of 3-8%, depending on the method of conization.
What precautions should be used before a cervical conization?
As with any operation that is performed under general anesthesia, the patient must not eat or drink anything for six to eight hours before surgery.
Do you need to remove an IUD prior to a conization of the cervix?
Most providers do, but it is completely a matter of preference of the clinician. Some feel they can safely remove the abnormal tissue without interference from the strings. Ask your provider what your options are.
What happens during a cervical conization?
The patient lies on the table with her legs raised in stirrups, similar to the position when having a Pap test. The patient is given general anesthesia, and the vagina is held open with an instrument called a speculum.
What type of aftercare is required after cervial conization?
After the test, the patient may feel some cramps or discomfort for about a week. Women should not have sex, use tampons, or douche until after seeing their physician for a follow up appointment (a week or more after the procedure).
Cervical dysplasia - series?
Normal anatomyThe cervix is the tissue that leads from the uterus into the vagina.IndicationsCervical cancer is one of the most common cancers in women. It is a cancer of the epithelial tissue of the cervix. Pap smear is the screening procedure used to detect cervical cancer. Limited or early cervical cancer (carcinoma in situ, or cervical intraepithelial neoplasia, or dysplasia) requires treatment with ablation therapy, usually in the form of cervical cryotherapy, or a more extensive procedure, called conization, which removes more tissue.Procedure, part 1Ablation therapy is frequently performed using a cryoprobe. A hollow metal probe, through which flows extremely cold liquid nitrogen, is inserted into the vagina and applied to the cervix and held in place for 5-10 minutes. This freezes, and thus destroys, the superficial tissues of the cervix which contains the dysplastic tissue.Procedure, part 2Conization is a procedure in which a "cone" of tissue is removed. This procedure is performed for more advanced cervical dysplasia, which remains limited to the cervix (cervical intraepithelial neoplasia, high grade). It allows the surgeon to remove more cervical tissue. Conization is performed using either a knife, laser, or electrocautery. LEEP, or the loop electrosurgical excision procedure is the term used for conization electrocautery. In this procedure, an electric current is run through a loop of wire, which is used to perform the conization. It is the most common method used for conization.AftercareIf the tissue removed by conization shows residual tumor, or invasive cancer, then further treatment is necessary. This often consists of surgical removal of the uterus and cervix (hysterectomy).Reviewed ByReview Date: 02/28/2011Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
