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박동렬(DL Park),이태호(TH Lee) 대한산부인과학회 1978 Obstetrics & Gynecology Science Vol.21 No.2
Hinselmann이 소위 암모지로 소개한 질확대경진상의 이상소견인 백반, 기저, 분야에 대하여 생검한 118검체의 조직학적 배경을 세밀히 검사하여 질확대경진상 단독으로서의 조직학적 진단의 확정 가능성 여부와 세포진 성적과의 상관에 관하여 연구하였다. In order to clarify the possibility of prediction of histological diagnosis by colposcopic findings alone, 118 cervical punch biopsy materials obtained from Hinselmanns atypical images, were analyzed precisely for their histological background, and results summarized are as follows. Atypical colposcopic images found were punctation 41 cases or 34.7%, mosaic 29 cases or 24.6%, leukoplakia 18 cases or 15.3%, abnormal blood vessel 15 cases or 12.7% and abnormal upheaval 15 cases or 12.7% respectively. Histological diagnosis of leukoplakia revealed from chronic cervicitis to invasive ca.; 3 cases of chronic cervicitis or 16.7%, 3 cases of dysplasia or 16.7%, 11 cases of ca. in situ or 61.8%, and 1 case of invasive ca. or 5.6% respectively. Histologic diagnosis of mosaic revealed from chronic cervicitis to invasive ca.; 11 cases of chronic cervicitis or 38.0%, 4 cases of dysplasia or 13.8%, 11 cases of ca. in situ or 38.0%, and 3 cases of invasive ca. or 10.3%. Histological diagnosis or punctation revealed from chronic cervicitis to invasive ca.; 13 cases of chronic cervicitis or 31.7%, 15 cases of dysplasia or 36.6%, 10 cases of ca. in situ or 24.4% and 3 cases of invasive ca. or 7.3%. High false positive rates, 16.7%, 37.9%, and 31.7% were encountered on the diagnosis of leukoplakia, mosaic, and punctation by colposcopic findings alone. Results suggested that high rate of misdiagnosis will be anticipated upon the diagnosis of colposcope alone, however, these would be significantly reduced by simultaneous use of cytology.
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