What's the point of checking a cone biopsy for invasive cancer if ur going to do a hysterectomy anyway?

What’s the point of checking a cone biopsy for invasive cancer if ur going to do a hysterectomy anyway?

can I ask u a question or 2 sir?

But write a post here in this page

how long does it take for cone biopsy results to come back?

Cone biopsy and LEEP is both the diagnostic and therapeutic procedures for pre-invasive lesions of cervix. If the ectocervical and endocervical cut margins are free and the histopath report is </=CINIII or carcinoma in situ then the procedure is considered of therapeutic benefit. There is ko need to jump directly to hysterectomy. But if the LEEP/CONE BIOPSY is reported as invasive disease+/-LVSI then just hysterectomy only may not be adequate procedure where some sort of radicality in the procedure with LN assessment may be needed.And LEEP/CONE BIOPSY is a diagnostic procedure in this scenario. If the cut margins are positive or the endocervical margin is still positive then re-LEEP is to be considered. Sometimes the patient may be reluctant to go for re-LEEP then under such difficult scenario, hysterectomy may be considered if she has completed family provided the report is not invasive.

There are upcoming trials like CONSERV and SHAPE trials supporting the hysterectomy with nodal assessment in special cases of invasive carcinoma with small lesion size.

CONCLUSION: HYSTERECTOMY MAY BE AN INCOMPLETE SURGICAL PROCEDURE IF IT IS AN INVASIVE DISEASE.

CONE BIOPSY MAY BE A COMPLETE SURGERY IN MANY CIRCUMSTANCES.

RULE OF THUMB: FOLLOW STEPWISE LADDER OF MANAGEMENT PROTOCOLS.