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KMID : 0388419990090010113
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Konkuk Journal of Medical Sciences
1999 Volume.9 No. 1 p.113 ~ p.120
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Evaluation of Cervical Cytology for Health Care and Periodic Examination -Experience for 4 Years 1995∼1998-
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Chung Tae-Young
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Abstract
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Cervical cancer is the most common gynecologic malignancy and leading cause of death in Korean women. Although the Papanicolaou(Pap) smear is a widely accepted tool for the detection and prevention of precancerous lesion and cancer of cancer of the cervix, it remains an imperfect test due to about 8-50％ of false negative rates. The purpose of our study is to evaluate the value of Papanicolau (PAP) smear for cervical cancer screening at Chung-Won area of the ChungBuk province. We reviewed all Pap smears which totaled 6457 cases performed in the health care center and the department of Obstetrics and Gynecology, Konkuk University Medical Center from January 1995 through December 1998. The results were as follows ; 1. Of the 6457 specimens assessed during four-years, 246(3.81％) were diagnosed as atypical squamous cell of undetermined significance(ASCUS) or atypical glandular cell of undetermined significance(AGUS), 111(1.72%) as low grade squamous intraepithelial lesion(LGSIL), 31(0.48%) as high grade intraepithelial lesion(HGSIL), and 12(0.19％) as carcinoma. 2. Of the women screened, 10.19% were the age of 20-30 years, 26.14%<40 years, 28%<50 years, 22.72%<60 years, 11.43%<70 years, and 1.36%>70 of age respectively. 3. Abnormal cytology was not increased with age. ASCUS, LGSIL and HGSIL were highest in those at the age of 30-50 years, and carcinoma was highest in those at the
age of 30 years.
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KEYWORD
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cervical cancer, cervical cytology
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