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KMID : 0358420110540070349
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Korean Journal of Obstetrics and Gynecology
2011 Volume.54 No. 7 p.349 ~ p.354
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The Correlation of cervical intraepithelial neoplasia 3 detected by cervical punch biopsies with the pathologic results of conization and hysterectomy
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Kim Ki-Won
Kim Kyoung-Mi
Park Jung-Woo
Jeong Hyun-Jae
Han Jee-Young
Kim Joon-Mee
Park Jee-Hyun
Hwang Sung-Ook
Lee Woo-Young
Song Eun-Seop
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Abstract
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Objective : To know the correlation of punch-biopsy proven cervical intraepithelial neoplasia (CIN) 3 with the results of cone and hysterectomy.
Methods: We reviewed the medical records from 1999 to 2008, retrospectively, at a single institution. We checked age, cone and hysterectomy biopsy results, preoperative cervical smear results as well as human papillomavirus results.
Results: There were 104 patients whose punch biopsy results were CIN 3. 59 (56.7%) patients underwent cone and 45 did hysterectomy after punch biopsies. Cone found 6.8% of cervical cancer. Among patients undergoing hysterectomy without cone, 8.9% had cervical cancers. There were a lot of inflammations, atypical squamous cells of unknown significance, low-grade squamous intraepithelial lesion done as a Pap results just before cone. The positive rate of HPV was 80.0%. There were 5.1% of under-estimated and 6.8% of over-estimated results according to the cone results, and 6.7% of under-estimated and 8.9% of over-estimated according to the hysterectomy results.
Conclusion: Through conization, 93.2% of the patients whose punch biopsy results were CIN 3 had CIN and did not need hysterectomy, and 6.8% had cervical cancers and might need further treatment. Through hysterectomy, 91.2% had CIN and might undergo overtreatment.
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KEYWORD
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Cervical intraepithelial neoplasia, Uterine cervical cancer, Biopsy, Conization, Hysterectomy
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