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KMID : 0358419750180070645
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Korean Journal of Obstetrics and Gynecology
1975 Volume.18 No. 7 p.645 ~ p.658
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A correlative study of cytologic and histopathologic features of the uterine cervical lesions
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이봉구/Lee BK
최인준/이유복/김동식/Choi IJ/Lee YB/Kim DS
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Abstract
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1. The cervical lesions of 88 cases consisted of 34 cases of chronic cervicitis, 9 cases of epithelial dysplasia 22 cases of carcinoma in situ and 23 cases of invasive carcinoma including 2 cases of microinvasion. 2. The characteistic of the smear in epithelial dysplasia were polyhedarl in shape, isolated in arrangement and uniformly finely granular in chromatin pattern (96%) without nucleoli. 3. The characteristics of the smear of carcinoma in situ were abnormal cells with round ot oval in shape and either isolated or syncytial in all arrangements . The abnormal cells of the smear had the nuclei with uniformly coarse chromatin in 67 percent of cells. 4. The characteristics of the invasive carcinoma in smear were round oval in shape, equal degrees of either isolated or syncytial in arraggements with frequent inflamatory and bloody background. The 55 percent of abnormal cells showed irreqularly coarse granular chromatine of nuclei with 6% of micronueleoli and 14 % of marconucleioli. 5. The 22 cases of carcinoma in situ consisted of 2 cases of small cell type and 20 cases of large cell type. The cytologic diagnosis was correct in 15 cases out of 17 cases of non-keratinizing large cell type and 2 cases out of 6 cases of keratinizing cell type. 6. The ratio of positive correlation between cytologic and histopathologic diagnoses was 100% in moderate to severe degree of dysplasia, 95% in caricinoma in situ, 100% in invasive carcinoma and 92% in total cases.
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