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KMID : 0358419960390040756
Korean Journal of Obstetrics and Gynecology
1996 Volume.39 No. 4 p.756 ~ p.764
Clinical Studies on 123 Cases of Invasive Cancer of the Cervix
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ÀÌÇѹü/¹Ú¿ë¿Ï/°­Á¤¹è/ÇãÁø¼÷/±èÈ«¹è/À̱ٿµ/°­¼º¿ø
Abstract
From January 1986 to December 1994, 123 cases of uterine cervical were evaluated at Hallym University Kang Nam Sacred Heart Hospital, Seoul, Korea. The purpose of this study was to analyze the clinical profile and survival rate of invasive
cervical
cancer. The main results were as follows; 1>The mean number of patients per year was 13.6 cases. 2>The majority of patients, 42 cases(34.2%). Was found in the group of age 14 between 41 and 50. 3>The frequent number of pregnancies was 3~8
times(75.7%)
and the mean number of pregnancies was 5.6 times. 4>The most frequent clinical symptoms of the invaisive carcinoma of the urerine cervix were irregular vaginal bleeding (37.4%), contact bleeding (36.6%) and leukorrhea(10.6%). 5>The distributions
of
patients by the clinical stages were as follows; stage I, 94 cases (76.4%); stage II, 27 cases(22.0%); stage III, 2 cases(1.6%). 6>The results of histopathologic subtype were distributed as follows; squamous cell carcinoma was 91.9%,
adenocarcinoma
was
6.5% and adenosquamous cell carcinoma was 1.6%. 7>The frequency of lymph node metastasis was 17.0% in stage I and 51.9% in stage II. 8>Postoperative complications were observed in 32 patients (26.7%) undergoing radical hysterectomy with pelvic
lymphadenectomy for cervical cancer and 22 patients of them had urologic complications, 4 cases of urinary tract infection, 16 of functional vesical disturbance, 1 of vesicovaginal fistula, 1 of ureteral fistula, 3 of lymphedema of lower limbs,
and
2
cases of lymphocyst were found. 9>We have alsoevaluated the 5-year of the patients treated from January 1986 to December 1989; stage Ia, 100%: stage Ib 78.1%; stage IIa, 70.6%.
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