Management of cervical microcarcinoma
DOI:
https://doi.org/10.5327/2237-4574-2024820007Keywords:
carcinoma, treatment, cérvixAbstract
Cervical microcarcinoma is an early and invasive form of cervical cancer, diagnosed based on microinvasion of the tissue.
First identified in 1947, it represents a transition between carcinoma in situ and invasive cancer. Early detection is essential
for less aggressive treatments and better fertility preservation. The classification of the lesion has been refined over the years
by the International Federation of Gynecology and Obstetrics (FIGO), dividing it into stages IA1 and IA2. Diagnosis is
made through rigorous histological evaluation, with a crucial analysis of lymphovascular involvement. Treatment varies
according to the depth of invasion, with options including conization, simple hysterectomy, radical trachelectomy, and radical
hysterectomy with lymphadenectomy. Fertility preservation is possible in selected cases with methods such as conization and
trachelectomy. The prognosis is excellent, with a five-year survival rate above 95% in early stages. Continuous follow-up is
essential to monitor for potential recurrences.
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