Predictive factors for residual disease in subsequent hysterectomy following conization for CINIII

Objective. The aim of this study was to determine predictive factors for post-cone residual disease in subsequent hysterectomy for CIN III. Methods. From June 1994 to June 1999, 120 patients with CIN III who received hysterectomy within 6 months of conization regardless of marginal status were identified from 1450 conization cases. The demographic features and pathologic parameters were analyzed for the predictive rate of post-cone residual disease. Results. Age greater than or equal to 50 years and parity greater than or equal to5 were significant factors associated with residual disease. The incidence of residual disease was 56.5 and 29.3% in patients greater than or equal to 50 and <50 years, respectively, and 61.8 and 36.0% in patients with parity <greater than or equal to>5 and <5. Post-cone endocervical curettage (ECC) and multiple-quadrant disease were the only pathologic predictive factors identified. The incidence of residual disease was 64.6 and 29.2% in patients with positive ECC and negative ECC, respectively, and 48.4 and 25.9% in patient with multiple-quadrant disease and one- or two-quadrant disease. Other pathologic parameters, including endocervical margins, ectocervical margins, endocervical gland involvement, and depth of conization, were not predictive of residual disease. When ECC was combined individually with age, endocervical margins, or multiple-quadrant disease, there was no increase of positive predictive rate; Conclusions. (1) Age 50 years or more and parity <greater than or equal to>5 were two demographic features that predicted post-cone residual disease. (2) ECC and multiple-quadrant disease were the only pathologic parameters that predicted post-cone residual disease. (3) With the appropriate application of the predictive factors, post-cone hysterectomy may be further decreased. (C) 2000 Academic Press.