Clinical Observations in Carcinoma of Uterine Cervix Hong Ryul Seol, M.D., Soo Chong Dee, M.D.
Dept. of Obst. and Gynec., College of Medicine, Korea University, Seoul, Korea
Clinical observations on 187 cases with carcinoma of uterine cervix over a period extending from January 1974 to September 1979 were made statistically.
The results were as follows:
1) Among those 187 cases, 182 cases (97.3%) were squamous cell carcinoma of which 8 cases (C V16) were carcinoma in situ, 6 cases (3.2%) were microinvasive carcinoma and 168 cases (89.8%) were invasive carcinoma. The adenocarcinoma was noted only in 5 cases (2.7%).
2) The average age of the patients with squamous cell carcinoma was 48.0 years old. and 42.4 years old in cases with carcinoma in situ, 42.8 in microinvasive carcinoma, 48.5 in invasive carcionoma. The mean age of patients with adenocarcinoma was 47.6 years old.
3) Groups of women in cities showed greater incidence of cervical carcinoma than groups in rural areas did.
4) The peak age incidence of menarche in patients with cervical carcinoma was 17years old (40/6), that of marriage between 19 and 21 (35.2%), that of first delivery between 21 and 23 (52.20o), and that of menopause 48.5 (29.9%).
5) Women with 5 or more pregnancies showed 73.2% in incidence and those with 3-7 deliveries showed 76.1% in incidence. The average number of those was 6.0 and 4.5 times, respectively.
6) Clinical symptoms of the patients with cervical carcinoma were as follows: irregular vaginal bleeding (46.90o), foul discharge (33.5%), lower abdominal pain (13.40), and contact bleeding (12.3%). Duration of chief complaints was most commonly less than 5 months (69.2%).
7) Gross findings of uterine cervix were as follows: erosion (40.0o), eversion (28.60), and ulceration (10.3%).
8) According to the clinical stage, the result showed stage O (4.3%), stage I (12.3%), stage JI (51.35vo), stage 1 (30.00) and stage IV (2.1%).
9) The degree of class on Pap´s smear increased with the advancement of cervical cancer.
10) Cell types in invasive squamous cell carcinoma were as follows: large cell nonkeratinizing was 50.4%, keratinizing 29.3% and small cell type 20.3%.
11) Clinical stages of the squamous cell carcinoma were correlated with the histologic cell types.
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