Final answer:
Cervical conization is indicated for the diagnosis and treatment of cervical cancer, particularly in early stages or when Pap smear results are abnormal. It is also used when there is a need to preserve fertility, and to diagnose or manage abnormal cervical or glandular cells.
Step-by-step explanation:
Indications for Cervical Conization
Cervical conization is a medical procedure used to diagnose or treat certain conditions of the cervix. The five main indications for cervical conization include:
- Diagnosis of cervical cancer in cases where Pap smear results are unclear or suggest severe dysplasia.
- Treatment for early-stage cervical cancer, especially when preserving fertility is a consideration.
- Diagnostic evaluation of women with positive HPV DNA tests and atypical Pap smear results to rule out high-grade squamous intraepithelial lesions (HSIL).
- Management of abnormal cervical cells detected during a Pap smear that haven't been resolved by other treatments.
- Diagnosis or treatment of glandular cell abnormalities that could indicate adenocarcinoma in situ or invasive adenocarcinoma of the cervix.