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Efficacy of Conization in Patients with Cervical Intraepithelial Neoplasia

Other Title
자궁경부 상피내종양 환자의 치료로써 원추형 절제술의 효용성
Authors
금, 승섭; 이, 정필; 유, 희석; 장, 기홍; 박, 영한; 임, 재현; 오, 기석
Citation
Taehan Sanbuinkwa Hakhoe chapchi, 44(6):1150-1157, 2001
Journal Title
Taehan Sanbuinkwa Hakhoe chapchi; Korean journal of obstetrics and gynecology; 대한산부인과학회잡지
ISSN
0494-4755
Abstract
Objective: The objective of this study is to evaluate the efficacy of conization of the cervix in patients with cervical intraepithelial neoplasia. Study design: Cold-Knife conization was performed in total 436 patients from June 1994 to May 2000. Indications and complications of conization were studied. And the results of cervical cytology, cervical histology, colposcopic findings and patbologic diagnosis of conization specimens were evaluated in comparison with the pathologic diagnosis of hysterectomy specimens and follow-up check of the patients. Results: Followings are results summarized. 1. Patients distribution according to cone biopsy results was 31.0% for CIS, 43.3% for CIN III, 14.7% for CIN II, 7.6% of CIN I, 3.4% for CNI, respectively. 2. The rate of agreement between colposcopy-directed biopsy and conization was 63.1%. 3. The positive rate of resection margin was 15.1%. 4. The recurrence rate in c]ear resection margin group was 7.0%. But there was no recurrence after hysterectomy in cases with positive resection margin of conization specimen, and the recurrence rate of positive resection margin without hysterectomy group was 10.5%. 5. The incidence of delayed hemorrhage (bleeding after 2 weeks) in hemostatic suture group and electric cauterization only group was 4.7% (l3/279) and 15.6% (23/157), respectively. Conclusion: We conclude that conization of the cervix as the surgical treatment was effective in CIN patients with careful patient selection.
Keywords
Cervical intraepithelial neoplasiaCone biopsy
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Obstetrics & Gynecology
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