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January 8, 1973

Carcinoma In Situ Of the Uterine Cervix

Author Affiliations

Phoenix, Ariz

JAMA. 1973;223(2):195. doi:10.1001/jama.1973.03220020061033

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To the Editor.—  In the Oct 30 issue of The Journal, the question was asked about how much time can safely elapse from the diagnosis of carcinoma in situ of the uterine cervix until a hysterectomy is done. The reply by the consultant indicated that hysterectomy could be done immediately, or a certain length of time up to six to eight weeks could be allowed.There is another very definite possibility in the treatment of carcinoma of the cervix not mentioned by the consultant. With a suspicious result for a Papanicolaou smear, quadrant biopsies, or Schiller's stains being used, a cold conization of the cervix can be done. Examination of the specimen removed at the cold cone may show carcinoma of the cervix in situ surrounded by normal tissue. If the coned site of the cervix is then allowed to heal, which it will do in about six weeks, Papanicolaou