자궁경부암에 대한 역학적 조사 : 서울백병원을 중심으로 = An Epidemiologic Study of Cervical Cancer Patients Treated at Seoul Paik Hospital for Seven Years

국문 초록 (Abstract)

자궁경부암의 발생 빈도에 영향을 미칠 수 있는 요인들에 대하여 역학적 조사를 시행하여 자궁경부암의 조기진단 및 치료에 도움을 얻고자 연구하였으며 전체 연구 대상 118예 중 36-50세 사이의 환자가 55.9%를 차지하였으며 결혼의 연령과 첫 분만의 연령이 빠를수록 자궁경부암 발생의 빈도가 증가한다는 것을 알 수 있었으며 자궁경부암 초기에는 별 증상이 없었던 경우가 많았으며 진행된 암일수록 지속적인 혈색대하 또는 성교 후 출혈이 많았다. 그러나 본 연구에서는 치험 예가 적고 또한 추적 관리를 제대로 할 수가 없었기 때문에 5년 생존율은 얻을 수가 없었다.

다국어 초록 (Multilingual Abstract)

Many epidemiologic studies have been performed concerning the effecting factors that are significantly correlated to the incidence of cervical cancer. The purpose of this study is evaluate factors associated with the frequency of cervical cancer and we hope that some of these factors might be helpful for early detection of the disease. 118 patients with cervical cancer treated at the department of Gynecology, Seoul Paik Hospital were studied during the period of 7 years from 1977 to 1985.
The results were as fellows:
1.The majority of patlents, 66 cases (55.9%), were found in the group of age between 36 - 50 years.
2.Earlier the age of first marriage and delivery, higher the risk of cervical cancer was noted.
3.The degree of Pap smear class was rising as degree of advanced cervical cancer.
4.In the early stage of cervical cancer, symtomless cases were predominant, but in more advanced cases, continuous bloody discharge and contact bleeding were more noted.
5.33 patients in stage 0 and Ia were treated by TAH with adnexectomy, 48 patients in la and lea were treated by radical hysterectomy and pelvic lymphadenectomy, and II patients treated by radical hysterectomy were performed radiation therapy because of lymph node metastasis.
6.It was very difficult to get 5-year survival rate because of small number of patients and short term follow-up study.

목차 (Table of Contents)

• Ⅰ.서론
• Ⅱ.연구 대상 및 방법
• 1.연구 대상
• 2.연구 방법
• Ⅲ.연구 결과
• 1.자궁경부암 환자의 연도별, 임상적 기별 분포(Table 1)
• 2.연령별 분포(Table 2)
• 3.결혼 연령(Table 3)
• 4.첫 임신의 연령(Table 4)
• 5.교육 수준
• 6.분만 횟수(Table 5)
• 7.임상 증상(Table 6)
• 8.질세포진과의 관계(Table 7)
• 9.병리조직학적 분류(Table 8)
• 10.치료 방법(Table 9)
• 11.임파선 전이(Table 10)
• 12.생존율(Table 11)
• Ⅳ.고찰
• Ⅴ.결론