지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 349 - 354 (6page)
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초록· 키워드
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Objective To know the correlation of punch-biopsy proven cervical intraepithelial neoplasia (CIN) 3 with the results of cone and hysterectomy.
Methods We reviewed the medical records from 1999 to 2008, retrospectively, at a single institution. We checked age, cone and hysterectomy biopsy results, preoperative cervical smear results as well as human papillomavirus results.
Results There were 104 patients whose punch biopsy results were CIN 3. 59 (56.7%) patients underwent cone and 45 did hysterectomy after punch biopsies. Cone found 6.8% of cervical cancer. Among patients undergoing hysterectomy without cone, 8.9% had cervical cancers. There were a lot of inflammations, atypical squamous cells of unknown significance, low-grade squamous intraepithelial lesion done as a Pap results just before cone. The positive rate of HPV was 80.0%. There were 5.1% of underestimated and 6.8% of over-estimated results according to the cone results, and 6.7% of under-estimated and 8.9% of overestimated according to the hysterectomy results.
Conclusion Through conization, 93.2% of the patients whose punch biopsy results were CIN 3 had CIN and did not need hysterectomy, and 6.8%had cervical cancers and might need further treatment. Through hysterectomy, 91.2% had CIN and might undergo overtreatment.
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참고문헌 (22)
참고문헌 신청
Ang MS / 1995 / Colposcopically directed biopsy and loop excision of the transformation zone. Comparison of histologic findings / J Reprod Med 40 : 167 ~ 170
Baldauf JJ / 1997 / An analysis of the factors involved in the diagnostic accuracy of colposcopically directed biopsy / Acta Obstet Gynecol Scand 76 : 468 ~ 473
Barker B / 2001 / The correlation between colposcopically directed cervical biopsy and loop electrosurgical excision procedure pathology and the effect of time on that agreem
Benedet JL / 1985 / Colposcopic accuracy in the diagnosis of microinvasive and occult invasive carcinoma of the cervix / Obstet Gynecol 65 : 557 ~ 562
Burger MP / 1993 / The reliability of the histologic diagnosis in colposcopically directed biopsies. A plea for LETZ / Int J Gynecol Cancer 3 : 385 ~ 390
Baldauf JJ / 1997 / An analysis of the factors involved in the diagnostic accuracy of colposcopically directed biopsy / Acta Obstet Gynecol Scand 76 : 468 ~ 473
Barker B / 2001 / The correlation between colposcopically directed cervical biopsy and loop electrosurgical excision procedure pathology and the effect of time on that agreem
Benedet JL / 1985 / Colposcopic accuracy in the diagnosis of microinvasive and occult invasive carcinoma of the cervix / Obstet Gynecol 65 : 557 ~ 562
Burger MP / 1993 / The reliability of the histologic diagnosis in colposcopically directed biopsies. A plea for LETZ / Int J Gynecol Cancer 3 : 385 ~ 390
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