The carcinoam of the uterine cervix is the most prevalent life-threatenign cancer among female genital tract cancers. However, it can be cured by early diagnosis and treatment. So, the purpose of this study was to improve the prognosis of this
disease
by early detection, diagnosis, and treatment through analyzing the clinical profiles.
From September 1989 to December 1994, 159 cases of the carcinoma of the uterine cervix diagnosed and treated at department of obstetrics and gynecology, Sanggye hospital were evaluated through medical records.
@ES The results were as follows:
@EN 1) The common chief complaints were abnormal Pap smear without symtom(40.3%), vaginal spotting(40.9%), and contact bleeding(11.9%). 2) The distribution of clinical stage by FIGO classification were stage I a2(6.3%), stage Ib(28.9%), stage
IIa(16.3%), stage IIb(11.4%), stage III(3.8%), and stage IV(1.2%). 3) The most common histologic type was squamous cell carcinoma(94.3%). 4) the types of treatment were operation alone(65.5%), operation and radiotherapy(12.6%),
radiotherapy(13.9%),
neoadjuvant chemotherapy and operation(3.2%), radiotherapy and chemotherapy(3.7%), and conservative treatment(1.2%). 5) median follow up time was 48.3% months and median disease free survival interval were I a(48.3 months), I b(44.4 months),
IIa(41.5
months), IIb(33.3 months), III(21.2 months), and IV(14.1 months).
With these results, we concluded that the cervical intraepithelial neoplasm and early carcinoma of uterine cervix are expected to be cured completely and even the advanced carcinoma of uterine cervix can be treatment with better prognosis by
early
detection, diagnosis, and treatment through periodical Pap smear and systematic examination.
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