子宮頸腟部における変化上皮の臨床的観察
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概要
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I have studied on 2288 cases of cervical lesions, by using smear-test, colposcopy and biopsy. For the detection of cervical cancer, the highest percentage of correct diagnosis could be oftained, when all these three methods were used in combination. The cytological study revealad many cases of atypical epithelium or carcinoma in situ very often belong to papanicolaou class III, in other words, dyskaryotic cells by Graham. In case I had seen atypical capillary pattern through colposcopy, most lesions were found to be invasive cancer. Frequency of the occurence of "Erosio vera" was much lower than that of "pseudoerosion", and age distribution of the former was 10 yerars oldor than that of the latter. So I considered "Erosio vera" does not precede "pseudoerosion". The average age of "Pseudoerosion", "Abnormes Epithel", and "Uuruhiges Epithel", was 5 years younger thau that of "Atypisches-Epithel", and carcinoma in situ. The difference of average age between carcinoma in situ and invasive cancer was 10 years (earlier in carcinoma in situ). I have been following up these portiolesions for 3 Months to 3.5 years. Throughout the course of follow up, no invasive cancer was detected from "Abnormes-Epithel" and "Unruhiges Epithel", but a few from cases of "Atypisches Epithel" arid carcinoma in situ. In the cases of "Atypisches Epithel". or carcinoma in situ complicated with trichomonas or pregnancy, the definite diagnosis should be made after the complications were completely treated.
- 千葉大学の論文
- 1964-07-28