질확대경진에 의한 조직진단 추정 = Studies on Possibilities of Prediction of Histological Diagnosis Through the Colposcopic Findings

다국어 초록 (Multilingual Abstract)

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.