Cervical conization

From Wikipedia, the free encyclopedia

Jump to: navigation, search

Cervical conization
Intervention
ICD-9-CM	67.2

Cervical conization (CPT codes 57520(Cold Knife) and 57522(Loop Excision)) refers to an excision of a cone-shaped sample of tissue from the mucous membrane of the cervix. Conization may be used either for diagnostic purposes as part of a biopsy, or for therapeutic purposes to remove pre-cancerous cells.^[1]

Types include:

cold knife conization^[2] (CKC). Usually outpatient, occasionally inpatient.
loop electrical excision procedure (LEEP). Usually outpatient.

Conization of the cervix is a common treatment for dysplasia following abnormal results from a pap smear.

Side effects [edit]

Side effects of the treatment may include cervical stenosis with resulting hematometra (collection of blood in uterus). This procedure may increase the risk of incompetent cervix.^{[citation needed]}

References [edit]

^ "Conization of Cervix: eMedicine Obstetrics and Gynecology". 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.

Female genital surgical and other procedures (gynecological surgery) (ICD-9-CM V3 65–71, ICD-10-PCS 0U)

Adnexa

Ovary	Oophorectomy · Salpingoophorectomy

Fallopian tubes	Falloposcopy · Salpingectomy · Tubal ligation · Essure · Tubal reversal

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

Vagina

Vaginectomy · Culdoscopy · Culdocentesis · Hymenotomy · Colpocleisis · Hymenorrhaphy · Vaginal wet mount

Vulva

Vulvectomy · Female genital mutilation · Labiaplasty

Medical imaging

Gynecologic ultrasonography · Hysterosalpingography

M: ♀ FRS

anat/phys/devp

noco/cong/npls, sysi/epon

proc/asst, drug (G1/G2B/G3CD)

Papillomavirus – Human papillomavirus

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

Vaccine

HPV vaccine (Cervarix, Gardasil)

Screening

Pap test (stain) - Cytopathology/Cytotechnology results Bethesda system

Experimental techniques (Speculoscopy, Cervicography)

Colposcopy

Biopsy histology	Cervical intraepithelial neoplasia (CIN) · Koilocyte · Vaginal intraepithelial neoplasia (VAIN) · Vulvar intraepithelial neoplasia (VIN)

Treatment	Cervical conization · Loop electrical excision procedure (LEEP)