In order to find out the role of colposcopy and Pap smear in early diagnosis of cervical neoplasia, we analyzed the findings of histology and Pap smear. There were dysplasia, carcinoma in situ, and invasive cancer in the 490 histologic findings.
These findings were compred to the Pap smear findings.
@ES We obtained the following results:
@EN 1. Among the histologic results of 490 cases, 158 cases(32.2%) were mild dysplasia, 74 cases(15.1%) moderate dysplasia, 74 cases(15.1%) severe dysplasia, 110 cases (22.5%) carcinoma in situ and 74 cases(15.1%) invasive carcinoma.
The mean age of the mild dysplasia was 30 years old. Whereas that of the invasive cancer was 51 years old.
2. The cytologic results of 490 cases were found to be: Class I 122 cases(24.9%), Class II 26 cases(5.3%), Class III 222 cases(45.3%), Class IV 61 cases(12.4%), Class V 59 cases(12.1%0
3. Among the mild dysplasia, Class I were 53.8%(85/158) and Class II were 8.9%(14/158). Among the moderate dysplasia, Class I were 14.9%(11/74) and Class II were 9.5%(7/74).
Among the severe dysplasia, Class I were 16.2%(12/74) and Class II were 2.7%(2/74). In the carcinoma in situ, Class I were 10.0%(11/110) and Class II were 2.7%(3/110), Among the invasive cancer, Class I were 4.0%(3/74)
From the above results, Pap smear has the limitation in diagnozing the cervical disease, and we conclude that other adjunctive method like colposcopy is recommended when the Pap smear test is used.
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