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KMID : 0376419940180020113
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Chonbuk University Medical Journal
1994 Volume.18 No. 2 p.113 ~ p.122
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Histopathological Review of Biopsy Materials Obtained by Uterine Cervix
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박승창
김달식/임채응/조남표/강명재/이혜수/최호열/김상호
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Abstract
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Author evaluated specimens of the uterine cervix submitted in Chonbuk National University Hospital laboratory from Sept. 1983 to Aug. 1986. The specimens were diagnosed histologically under the light microscope previously.
@ES The results were as follows;
@EN 1. The analyzed cervical tissues were 982 cases, e.g. 681 cases by punch biopsy, 166 cases by polypectomy, 32 cases by conization, 51 cases by total hysterectomy, 51 cases by radical hysterectomy, and one cases by endocervical curettage.
2. On the histological classification of the tissues, chronic cervicitis and chronic cervicitis with squamous metaplasia were 483 cases, cervical polyps 164 cases, dysplasis 123 cases, carcinoma in situ 22 cases, microinvasive carcinoma 6 cases,
invasive squamous cell carcinoma 157 cases, adenocarcinoma 13 cases, condyloma accuninatum 3 cases and verrucous carcinoma was one case.
3. The peak incidence of cervical lesions occurs 5th decade(365 cases), and the average was 44.2 year of age. The youngest and oldest cases were 16 and 79 years of age.
4. The average age of chronic cervicitis was 40.6 years, chronic cervicitis with squamous metaplasia was 40.7 years, cervical polyp was 42.9 years, dysplasia was 42.2 years, carcinoma in situ was 42.8 years, microinvasive carcinoma was was 49.8
years,
invasive squamous cell carcinoma was 48.4 years, and adenocarcinoma was 50.8 years.
5. Clinical manifestation of the patients with performed biopsy of the uterine cervix were leukorrhea(289 cases), vaginal spotting(279 cases), contact bleeding(229 cases), irregular vaginal bleeding(221 cases). And other many symptoms were
complained.
6. Clinical manifestations of the chronic cervicitis and chronic cervicitis with squamous metaplasia were leukorhea, vaginal spotting and contact bleeding. Dysplasia was contact bleeding and leukorrhea, and invasive carcinoma was irregular
vaginal
bleeding vaginal spotting. And contact bleeding.
7. The main histological diagnosis of the cervical tissues obtained by punch biopsy(681 cases) were chronic cervicitis and squamous metaplasia(442 cases), invasive carcinoma(128 cases), and dysplasia(85 cases). The tissues by polypectomy(166
cases)
were diagnosed with polyp(160 cases) mostly, and cone biopsy tissues(32 cases) were disclosed with dysplasia(16 cases) and chronic cervicitis & squamous metaplasia(10 cases). The specimens by total hysterectomy specimens(51 cases) were confirmed
with
invasive carcinoma(38 cases) mainly.
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KEYWORD
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