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KMID : 0613119930060010225
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Journal of St. Benedict Hospital
1993 Volume.6 No. 1 p.225 ~ p.231
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The Value of Colposcopy for Early Diagnosis of Cervical Cancer
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백경돈/Baik, Kyung Don
하부수/신규식/김철/Ha, Boo Soo/Sin, Kyu Sik/Kim, Chul
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Abstract
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This study was performed to evaluate the diagnostic value of colposcopy by comparing colposcopic findings with cytology, histology of colposcopically directed biopsy and final biopsy result on hysterectomy.
From January 1, 1988 to January 31, 1991, the colposcopic examinations was undertaken in 452 patients, excluding grossly visible carcinoma of the cervix.
The result were as follows :
1. Colposcopic examinations were satisfactory in 99.3% and unsatisfactory in 0.66%.
2. The accuarcy rate of cytologic diagnosis was 87.5% and colposcopic impression was 94.4%.
3. The false negative rate of colposcopic impression was 2.4%, much less than 11.1% of cytologic examination.
4. The cytologic accuarcy rate in cervicitis was higher than that of colposcopic impression but the accuracy rate of colposcopic impression in diagnosis of cervical intraepithelial neoplasia was higher than that of cytology.
5. Among 24 cases in which colposcopically directed biopsy were performed, more advanced lesions were disclosed in 4 cases(16.7%).
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