자궁경부암의 발생양상

Abstract

This study reveals several factors associated with carcinoma of the cervix and some of these factors might be hopeful for early detection of the disease. The 476 cases, who were confirmed as carcinoma of the cervix by biopsy (punch biopsy or postoperative specimen) at Keimyung University Hospital during recent 2 years from January 1981 to December 1982, were studied retrospectively by modical chart review. The majority of patients with carcinoma in situ of the cervix(84.1%) were found in the group of 30-49 years old, and invasive carcinoma of the cervix(72.0%) were found in the group of 40-56 years. The mean age of patients were 43.6 years in carcinoma in situ, and 50.8 years in invasive carcinoma of the cervix. Patients from rural area showed higher rate invasive carcinoma of the cervix than the patients from urban area. The higher the educational level, the higher the rate of carinoma in situ of the cervix thne invasive carinoma of the cervix were found. The lower the socioeconomic condition, the higher was the risk of carcinoma of the cervix. It was observed that 63.2% of total patients were married before age of 20 years. It was observed that, most cases of carcinoma of the cervix were found at multigravida or multiparous woman. The majority of the patients (288 cases; 60.5%) with carcinoma of the cervix were at the stage of Ⅱ, by F.I.G.O classification, when their 1st diagnosis was made. The most common clinical symptome of patients with carcinoma of the cervix, when they visit hospital, was vaginal bleeding or spotting(329 cases; 69.1%).