https://scholars.lib.ntu.edu.tw/handle/123456789/460832
標題: | Independent clinical factors which correlate with failures in diagnosing early cervical cancer | 作者: | RUEY-JIEN CHEN DAW-YUAN CHANG MEN-LUH YEN Lee E.F SONG-NAN CHOW Huang S.-C CHANG-YAO HSIEH |
公開日期: | 1995 | 卷: | 58 | 期: | 3 | 起(迄)頁: | 356-361 | 來源出版物: | Gynecologic Oncology | 摘要: | Our aim was to identify independent factors that correlated with colposcopically directed biopsy's reliability as a method for diagnosing early cervical cancer. One hundred ninety-one of a total of 2265 patients who had colposcopic examinations because of abnormal Papanicolaou smears were included in this study. These patients had all undergone a hysterectomy after being diagnosed as having cervical intraepithelial neoplasia grade III by colposcopically directed biopsy. By univariate analysis, old age (P = 0.0195), achievement of menopausal status (P = 0.0046), large lesion size (P = 0.0021), and unsatisfactory colposcopy (P = 0.0017) were found to be associated with the nondiagnosis of early cervical cancer. However, multivariate analysis using stepwise logistic regression revealed that large lesion size (P = 0.003) and unsatisfactory colposcopy (P = 0.0008) were the only independent factors that correlated with nondiagnosis. Our findings indicate that in order to reach a clear-cut diagnosis, cases with either unsatisfactory colposcopy or satisfactory colposcopy with large lesions (despite a lack of histologic evidence of invasions) should undergo a diagnostic conization. ? 1995 Academic Press. All rights reserved. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/460832 | ISSN: | 0090-8258 | DOI: | 10.1006/gyno.1995.1242 | SDG/關鍵字: | article; cancer diagnosis; colposcopy; correlation function; early cancer; early diagnosis; female; human; human tissue; priority journal; uterine cervix biopsy; uterine cervix cancer; Adult; Biopsy; Cervical Intraepithelial Neoplasia; Cervix Neoplasms; Cervix Uteri; Colposcopy; Evaluation Studies; Female; Human; Middle Age; Neoplasm Invasiveness; Support, Non-U.S. Gov't; Time Factors |
顯示於: | 醫學系 |
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