Uterine Cervix

Part of the Frozen Section Library book series (FROZEN, volume 11)


Intraoperative consultation is often sought for specimens from the cervix. Almost all consultations are related to cervical carcinoma, the sixth most common solid malignancy among women in the United States. Some specimens are submitted for gross consultation only, but the majority requires frozen section examination to assess the presence and extent of malignancy (Table 4.1). In approximately 70% of patients with cervical cancer, the disease is limited to the cervix. The diagnosis is initially established usually by a punch biopsy. Patients with pre-invasive disease (FIGO Stage 0) and patients with superficial invasion (FIGO Stage IA) who desire to preserve fertility can be treated with limited procedures, including loop electrosurgical excision procedure (LEEP) excision and conization. Some modalities, such as cryosurgery and laser vaporization, destroy the tissue, and no samples are submitted for intraoperative consultation by frozen section. Advanced stages of malignancies require more extensive surgical resections to include, in addition to the cervix, the uterine body, and often both tubes and ovaries, while others are treated with radiation and/or chemotherapy.


Cervical Cancer Adenoid Cystic Carcinoma Radical Hysterectomy Permanent Section Verrucous Carcinoma 


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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Pathology and Genomic Medicine The Methodist HospitalWeill Medical College of Cornell UniversityHoustonUSA
  2. 2.University of CaliforniaIrvineUSA

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