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Original Article
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Korean J Obstet Gynecol. 2005;48(10):2330-2335. Published online October 1, 2005.
- The change of trend on surgical treatment of patients with cervical intraepithelial neoplasia 3 in Incheon and Bucheon area.
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Eun Seop Song
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Gynecologic Oncology Study Group in Incheon and Bucheon, Korea. songsong2000@hotmail.com
- Abstract
- OBJECTIVE
To know the ratio of hysterectomies and cones for the treatment of CIN 3 in Incheon and Bucheon area, and to know the trend of changes of treatments according to the year operated and age of patients. METHODS: From Jan. of 1996 to Mar. of 2005, clinical information was reviewed for the patients with CIN3 at 5 hospitals, which were members of Gynecologic Oncology Study Group in Incheon and Bucheon area. RESULTS: Among 1428 patients with CIN 3, 808 patients underwent hysterectomies and 620 underwent cone (57% vs. 43%). Before 2000, almost 10-30% of patients selected cones for themselves. After 2003, however, 70% have selected cones. And younger patients prefer cones and older patients prefer hysterectomies. 60% of patients of their 5th decades have selected hysterectomies and remainders have selected cones for their CIN3 treatments. CONCLUSION: In Incheon and Bucheon area, hysterectomies have been performed slightly more than conization of cervix for the patients with CIN3. After 2003, however, about 70% of patients with CIN3 have been treated by cone. As patients get old, they get to prefer hysterectomy.
Keywords :CIN3;Hysterectomy;Cone
