Clinical Evaluation of ASCUS and AGUS.

Hwang, Y H; Yang, J M; Kim, H J; Kim, M R; Kim, J H; Lee, E H

Original Article

Korean Journal of Obstetrics & Gynecology 1999;42(7):1502-1507.
Published online January 1, 2001.

Clinical Evaluation of ASCUS and AGUS.

Y H Hwang, J M Yang, H J Kim, M R Kim, J H Kim, E H Lee

Abstract

OBJECTIVE
To evaluate the incidence and clinical significance of ASCUS and AGUS in cervical smear by The Bethesta System. METHOD: Study was carried by review of medical record of ASCUS and AGUS retrospectively from January 1997 to December 1998 at ILSIN Christian Hospital. RESULTS: From the 21,388 cases of cervical smears, ASCUS was diagnosed in 593 cases[2.77%] and AGUS in 187 cases[0.87%]. Pathologic results of ASCUS were revealed in 15 cases[4.56%] as HPV, 24 cases[7.29%] as dysplasia, 9 cases[2.74%] as CIS and 1 case[0.31%] as SCC. So 14.89% was abnormal lesion. Pathologic results of AGUS were revealed 5 cases[5.21%] as HPV, 15 cases[15.63%] as dysplasia, 7 cases[7.29%] as CIS and 1 case[1.04%] as adenocarcinoma. So 29.17% was abnormal lesion. CONCLUSION: The relatively high incidence of abnormal lesion of ASCUS and AGUS necessitates aggressive follow up and treatment are needed especially in Korea where colposcopic cost are low.

Key Words: TBS, ASCUS, AGUS