The change of trend on surgical treatment of patients with cervical intraepithelial neoplasia 3 in Incheon and Bucheon area.
- Author:
Eun Seop SONG
1
Author Information
1. Gynecologic Oncology Study Group in Incheon and Bucheon, Korea. songsong2000@hotmail.com
- Publication Type:Original Article
- Keywords:
CIN3;
Hysterectomy;
Cone
- MeSH:
Cervical Intraepithelial Neoplasia*;
Cervix Uteri;
Conization;
Female;
Gyeonggi-do*;
Humans;
Hysterectomy;
Incheon*
- From:Korean Journal of Obstetrics and Gynecology
2005;48(10):2330-2335
- CountryRepublic of Korea
- Language:Korean
-
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.
