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Conization
Doctors may perform a conization to detect the possible existence of cervical cancer. This
procedure is also called a cone biopsy because it involves removing a piece of tissue from the
cervix and cervical canal that is cone-shaped or cylindrical. The surgery is performed while a
patient is under general anesthetic. The doctor uses a scalpel called a cold-knife conization, a
laser or a device called an electrosurgical wire loop to remove the cervical tissue. The normal
thickness of the piece of tissue removed is approximately 1 centimeter although a thicker piece
may be removed.
Endocervical Curettage
Endocervical curettage is yet another procedure used to diagnose cervical cancer. Under local
anesthetic, the lining of the cervical canal will be scaped to examine the existence of any cancer
cells. A narrow instrument called a curette is used for this purpose. It is shaped like a scoop or a
spoon. This instrument is inserted into the passage located between the outer cervix and the
inner uterus to remove cervical cells.
LLETZ
Large loop excision of the transformation zone is used to remove cells that are marked
abnormal using a microscope. It is also reffered to as LEEP, which is an abbreviation for loop
electrosurgical excision procedure. After application of local anesthesia a thin wire is used to
remove cells. The zone with abnormal cells is called Transformational Zone.