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KMID : 0358419740170040249
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Korean Journal of Obstetrics and Gynecology
1974 Volume.17 No. 4 p.249 ~ p.256
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Premalignant Lesion and Intraepithelial Carcinoma of the Cervix Uteri -( A retrospective study of 76 cases with carcinoma in situ and 42 cases with cervical dysplasia )-
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송승규/Song SK
권오석/김대훈/김수평/Kwon OS/Kim DH/Kim SP
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Abstract
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Authors retrospectively analized one hundred and eighteen patients with CIS(carcinoma in situ) and dysplasia detected cytopathologically at Catholic Medical College from January, 1966 through June, 1973. The results were as follows : 1) The average age was 43.8 years in CIS and 41.1 years in dysplasia. 2) The average pregnancy numbers were 4.3 in CIS and 4 in dysplasia. 3) The average age of first marriage was 21.6 years in CIS and 20.7 years in dysplasia. 4) The clinical symptoms were noted in 65 percent of both CIS and dysplasia, and there were no symptoms or minimal symptoms in 35 percent fo cases. 5) 21 percent of CIS and 29 percent of dysplasia were detected in negative groups of Papanicolaou`s smear. 6) 48 of the patients who had operation performed were treated by hysterectomy, and conization was performed in remaining 7 patients. 7) The follow up in only 25 patients who had operation performed was possible during 5 years from 6 months after operation, one patient of dysplasia treated by conization was clearly defined with cellular hyperplasia, and one patient of CIS detected incidentally after energency total hysterectomy was transmitted to invasive carcinoma at vaginal cuff. 8) 5 percent of dysplasia who had not performed operation were improved in follow up study, in 6 cases of CIS and 2 cases of dysplasia were not improved. 3 patients of CIS were transmitted to early invasive carcinoma.
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KEYWORD
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