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KMID : 0388019940050010056
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Korean Journal Gynecologic Oncology and Colposcopy
1994 Volume.5 No. 1 p.56 ~ p.63
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Comparative Study of the Cervical Cytology, Colposcopic Impression and Directed Biopsy on the Role of the Diagnostic Approach to the Cervical Carcinoma
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Abstract
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A total of 369 patients with abnormal cervical cytology and suspicious lesions of the cervix were colposcoped ad 356 patients of whom were taken directed biopsy to assess the lesions precisely and compare the accuracy of the each methods. The
rasults of
cervical cytology were also compared with the colposcopic impressions and colposcopically directed biopsies.
252 patients with abnormal colposcopic findings were performed conization, simple hysterectomy or radical hysterectomy depending of their current disease status.
The rate one grade less or more advanced correlation between the cervical cytology and directed biopsy was 72.4% and that of two grade less was 80.3% and as for the correlation between the colposcopic impressions and the colposcopically directed
biopsies, the rate of compatibility was 91.5%.
Bases on the histopathologic findings of the surgical specimen, the compatibility rates of cervical cytology, colposcopic impressions and colposcopically directed biopsies were 70.2%, 90.6% and 98.0% respectively. With these results, we can reach
a
conclusion that the coloposcopic impression itself is almost as accurate as the colposcopically directed biopsy and the directed biopsy can take the place or conization so far as the diagnostic accuracy is concerned.
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KEYWORD
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