Among females in Korea, cervical cancer is one of the most common malignant tumors Exfoliative cytology is a highly sensitive and specific test with low expense for early detection of cervical cancer and its precursors. This is why the test is widely used for screening purpose. However, in case of screening, the validity is lowered, and so it should be compensated for by recheck to confirm.
From the viewpoints above, the Korea University performed prescheduled cervical cancer screening tests from 1987 to June 1990 for a total of 1,761 women living in Yeoju Gun, Kyong Kee Province where K.U. Hospital is located.
This research includes the results of the tests and the discussion on the participation in second stage examination for the confirmation purpose. This can be summarized as follows.
1. Cytological result of the Papanicolau smear revealed 0.7% of C.Ⅲ and 0.1% of C.Ⅳ category. And 42.2% of cases showed some signs of gynecological inflammation which were subjected to recheck.
2. A total of 209 (27.9%) among 750 inflammatory category participated in the second stage confirmation test.
3. It was confirmed that geographical accessibility in terms of distance from hospital to residential area could not afford to influence the rate of participating in confirmation test.
4. As the result of stepwise multiple regression analysis of the subjects to be rechecked. accumulative R square of symptom level. occupation, economic status, age and numbers of children was 46.8% in relation to the participation in the second stage examination for confirmation purpose.
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