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子宮頸部癌(자궁경부암)의 細胞學的(세포학적) 有病率(유병률)과 그 關聯要因(관련요인)
전용재 ( Y J Jeon ),이치영 ( C Y Lee ) 대한임상검사과학회 1992 대한임상검사과학회지(KJCLS) Vol.24 No.1
To estimate the prevalence for cervical cancer and the risk factors, 5,417 asymptomatic married women were screened from March, 1984 to December, 1990 in Taegu city. Of 5,417 examinees, 3,817 ( 70.46% ) were normal, 1,542 ( 28.7 4%) showed inflammatory change, 51(0.94%) dysplasia and 7(0.13 %) were carcinoma in situ or invasive carcinomas. The prevalence for abnormal finding(dysplasia, carcinoma in situ or invasive carcinoma) was 1,070 per 100,000 population. The prevalence for dysplasia was 940 per 100,000 and carcinoma in situ or invasive carcinoma was 130 per 100,000. Ageadjusted prevalence for abnormal finding adjusted with standard population of Taegu city was estimated to be 850 per 100,000. The prevalence for cervical cancer was significantly increased with age(P<0.05). The prevalence for cervical cancer was significantly decreased with age at marriage and educational level(P<0.05). The history of induced abortion and the number of pregnancies were significantly associated with cervical cancer(P<0.05), whereas, the number of parity was not. Age at marriage was significantly associated with cervical cancer after stratification on age (p<0.05). However, the education level, parity, induced abortion, number of pregnancies were not significant. Inflammation and human papilloma virus infection were associated with cervical cancer with odds ratio of 13.18(95 %, confidence interval 7.80--- 23.40) and 478.29(95%, confidence interval 196.80 --- 1,143.10), respectively. In conclusion, for early detection cervical cancer it should be recommended to perform mass cytological screening, in particular, for those women who have frequent cervical inflammation and for those women married before age of 20 should be recommended to have regular and periodic cytologic screening, starting at age of 25, for cervical cancer.