Experience with diagnosis and management of pre and early cancers of the cervix

The aim of our clinic is to diagnose and keep under observation all cases of moderate dysplasia. We consider cone biopsy to be purely diagnostic in all cases of severe dysplasia and carcinoma in situ. Once the diagnosis is confirmed, we recommend hysterectomy for all except an occasional young patient who has not completed her family. In view of the high incidence of invasive cervical cancer, poor follow-up rate and lack of sophisticated radiation techniques in our country, we do not believe in keeping such patients under observation. These views are further substantiated by a low morbidity rate for surgery at this stage of the disease.